DR. ISA L. ELIASOPH PSY.D.
NPI 1073782322
Psychologist - Clinical Child & Adolescent in Great Neck, NY

Q: What is Isa Eliasoph's NPI number?

The NPI number for Isa Eliasoph is 1073782322. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Q: What is Isa Eliasoph's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Isa Eliasoph was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2008PECOS EnrolledAccepts Medicare Assignment

11 GROSVENOR PL, GREAT NECK, NY 11021(516) 482-3569 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Isa L. Eliasoph Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ISA L. ELIASOPH PSY.D. (NPI 1073782322) is an individual clinical child & adolescent provider in Great Neck, New York, licensed in New York (017411) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2006).

NPPES Registry Identity

NPI1073782322

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. ISA L. ELIASOPHCredential: PSY.D.

Location Address11 GROSVENOR PLGreat Neck, NY 11021-4534

Mailing Address11 Grosvenor PlGreat Neck, NY 11021-4534 · (516) 482-3569

Phone(516) 482-3569

Sole ProprietorYes

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2006

Enumeration DateFebruary 20, 2008

✔ NPI 1073782322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NY · 017411

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 017411 (NY)

Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 017411 (NY)

11 GROSVENOR PL, Great Neck, NY 11021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Isa L. Eliasoph Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739354069

PECOS Enrollment IDI20111214000688

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isa Eliasoph's NPI number?

The NPI number for Isa Eliasoph is 1073782322. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Isa Eliasoph located?

Isa Eliasoph practices at 11 Grosvenor Pl, Great Neck, NY 11021. The listed phone number is (516) 482-3569.

What is Isa Eliasoph's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Isa Eliasoph enrolled in Medicare?

Yes. Isa Eliasoph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Isa Eliasoph accept?

Health plans from Providence Health Plan list Isa Eliasoph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Isa Eliasoph was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.