Individual provider Active NPI

Edie Joy Sasson-Gelman, PH.D., CRC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1962648378
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021599 Issued in NY
Practice address
41 Central Park W Apt 1H
New York, NY 10023-6732
Phone
(917) 830-4456
Fax
(888) 972-3492
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X PSY25477 CA
Clinical Psychologist 103TC0700X 021599 NY Primary

Addresses

Primary practice location

41 Central Park W Apt 1H
New York, NY 10023-6732

Mailing address

954 Lexington Ave # 287
New York, NY 10021-5055
Phone (917) 830-4456

Other practice location 1

945 Taraval St
# 701
San Francisco, CA 94116-2422
Phone (415) 335-9265

Other identifiers 1

IdentifierTypeStateIssuer
021599OtherNYPSYCHOLOGIST LICENSE

Other names 1

  • Dr. E. Joy Sasson Gelman Professional name

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
I20161003002183 NY Practitioner - Clinical Psychologist 3779729751 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

41 Central Park W
Apt 1H
New York, NY 10023-6732
Phone (917) 830-4456

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1962648378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 LEXINGTON AVE # 287",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215055",
            "telephone_number": "917-830-4456",
            "fax_number": "888-972-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CENTRAL PARK W APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236732",
            "telephone_number": "917-830-4456",
            "fax_number": "888-972-3492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 TARAVAL ST",
            "address_2": "# 701",
            "address_purpose": "LOCATION",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162422",
            "country_code": "US",
            "telephone_number": "415-335-9265",
            "fax_number": "888-972-3492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSON-GELMAN",
        "first_name": "EDIE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PH.D., CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY25477",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "021599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E. JOY",
            "last_name": "SASSON GELMAN",
            "prefix": "DR.",
            "credential": "PH.D., CRC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.