Individual provider Active NPI

Lynn Curcuro Tenenbaum, PHD

  • Clinical Psychologist
  • Bellerose Manor, NY
National Provider Identifier
1962559955
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007699 Issued in NY
Practice address
8045 Winchester Blvd
Bellerose Manor, NY 11427-2193
Phone
(917) 364-0984
NPI assigned
Jan 4, 2007
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 007699 NY Primary

Addresses

Primary practice location

8045 Winchester Blvd
Bellerose Manor, NY 11427-2193

Mailing address

3223 88TH St # D206
East Elmhurst, NY 11369-2146
Phone (917) 364-0984

Other identifiers 1

IdentifierTypeStateIssuer
00821045MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001614 NY Practitioner - Clinical Psychologist 0749272938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

8045 Winchester Blvd
BLDG 80
Queens Village, NY 11427-2129
Phone (718) 217-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Feb 6, 2025 Accepting new patients
Che Senior Psychological Services, PC Clinical PastSince Feb 2, 2020 Accepting new patients
Knapp Street Psychiatry, PC Clinical PastSince Feb 2, 2020 Accepting new patients
Alternative Psychological Services Psychologist Past Accepting new patients
Laura E Asner CSW PC PastSince May 1, 1995 Accepting new patients
Metropolitan Psychological & Licensed Master Social Work Services PLLC Clinical Past Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

81 Mall Dr
Commack, NY 11725
Phone (631) 326-4428

8045 Winchester Blvd
Bldg 80
Queens Village, NY 11427
Phone (718) 217-4242

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1962559955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 88TH ST # D206",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692146",
            "telephone_number": "917-364-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD",
            "city": "BELLEROSE MANOR",
            "state": "NY",
            "postal_code": "114272193",
            "telephone_number": "917-364-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENENBAUM",
        "first_name": "LYNN",
        "middle_name": "CURCURO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00821045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose Manor, NY

Sources for this page

Verify at the official NPI Registry.