Individual provider Active NPI

Rina Rebecca Grafstein, PH.D.

  • Professional Counselor
  • New York, NY
National Provider Identifier
1972749240
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
009687-1 Issued in NY
Practice address
280 Madison Ave
RM 1004
New York, NY 10016-0808
Phone
(914) 522-4936
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 009687-1 NY Primary
Mental Health Counselor 101YM0800X 009687-1 NY

Addresses

Primary practice location

280 Madison Ave
RM 1004
New York, NY 10016-0808

Mailing address

280 Madison Ave
RM 1004
New York, NY 10016-0808
Phone (913) 833-0632

Other names 1

  • Ms. Rina Rebecca Polonsky Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 21, 2015 through Aug 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
009687-1NYMDMental Health Counselor
009687NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1972749240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "RM 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160808",
            "telephone_number": "913-833-0632",
            "fax_number": "914-833-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "RM 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160808",
            "telephone_number": "914-522-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFSTEIN",
        "first_name": "RINA",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "009687-1",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009687-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RINA",
            "last_name": "POLONSKY",
            "middle_name": "REBECCA",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.