Provider Demographics
NPI:1912530791
Name:HALPERT, REBEKAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:
Last Name:HALPERT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 BENNETT AVE APT 3C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-2135
Mailing Address - Country:US
Mailing Address - Phone:516-710-0711
Mailing Address - Fax:
Practice Address - Street 1:50 E 42ND ST RM 1807
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5402
Practice Address - Country:US
Practice Address - Phone:212-696-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023583-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical