DR. EMILY UPSHUR PH.D.
NPI 1083039382
Psychologist - Clinical in New York, NY

Active since February 23, 2014Opted out of Medicare · through Jul 1, 2028
250 PARK AVE STE 7081, NEW YORK, NY 10177(917) 830-5324 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Emily Upshur Ph.d. NPPES

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

DR. EMILY UPSHUR PH.D. (NPI 1083039382) is an individual clinical provider in New York, New York, licensed in New York (019571) and active in the NPI registry since February 2014. She has opted out of Medicare through July 1, 2028 and maintains a secondary practice location in Pelham.

NPPES Registry Identity

NPI1083039382
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EMILY UPSHURCredential: PH.D.
Location Address250 PARK AVE STE 7081New York, NY 10177-0001
Mailing Address629 Fifth Ave Ste 109Pelham, NY 10803-3708 · (917) 830-5324
Sole ProprietorYes
Enumeration DateFebruary 23, 2014
Last NPPES UpdateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1083039382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 019571
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
250 PARK AVE STE 7081, New York, NY 10177

Secondary Practice Location 1

Location 1629 Fifth Ave Ste 109Pelham, NY 10803-3708 · Phone (917) 830-5324

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Emily Upshur Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Emily Upshur's NPI number?

The NPI number for Emily Upshur is 1083039382. It was assigned to this individual provider in the NPPES registry on February 23, 2014.

Where is Emily Upshur located?

Emily Upshur practices at 250 Park Ave Ste 7081, New York, NY 10177. The listed phone number is (917) 830-5324.

What is Emily Upshur's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emily Upshur enrolled in Medicare?

No. Emily Upshur has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Emily Upshur was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.