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

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: July 19, 2026.

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
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

Accepted 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

The NPI number assigned to this healthcare provider is 1073782322, enumerated as an "individual" on February 20, 2008.

The provider is located at 11 GROSVENOR PL GREAT NECK, NY 11021 and the phone number is (516) 482-3569.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.