Elizabeth Engelman PHD Psychologist PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ELIZABETH ENGELMAN PHD PSYCHOLOGIST PC

Practice address

43 Bogart Ave
Port Washington, NY 11050-4032

Phone

(516) 521-4699

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Elizabeth EngelmanNPI 1356364731

Title

PHD

Phone

(516) 521-4699

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Engelman, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1356364731
  NPD (past) Authorized official

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1992185839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BOGART AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504032",
            "telephone_number": "516-521-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ENGELMAN PHD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "ENGELMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "516-521-4699"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01072224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie T Eagan, D.C.
• Pegah Ebrahim-Hakkak, RPH
• Paul A. Eisen, D.M.D.
• Sally Shore Eisenman, PH.D
• Elder Home Care LLC
• Kyle Eng, DPT
• Harriet Englander, M.S.
• Epstein Psychology Services PLLC
• Tijen B. Eron, PH.D.
• Ashraf M Estafan, DDS

• Psychologist in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.