Individual provider Active NPI

Allen Joseph Elkin, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1972601128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5294 Issued in NY
Practice address
110 E 36TH St
Ste 1-C
New York, NY 18016-3464
Phone
(212) 679-4819
Fax
(212) 679-4819
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5294 NY Primary

Addresses

Primary practice location

110 E 36TH St
Ste 1-C
New York, NY 18016-3464

Mailing address

110 E 36TH St
Ste 1-C
New York, NY 18016-3464
Phone (212) 679-4819

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
I20111110000581 NY Practitioner - Clinical Psychologist 5890969711 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19 W 94TH St
Apt 2
New York, NY 10025-7159
Phone (347) 410-1661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5294NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972601128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 36TH ST",
            "address_2": "STE 1-C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "180163464",
            "telephone_number": "212-679-4819",
            "fax_number": "212-679-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 36TH ST",
            "address_2": "STE 1-C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "180163464",
            "telephone_number": "212-679-4819",
            "fax_number": "212-679-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "ALLEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "5294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.