DR. THERESA CLAIRE PH.D.
NPI 1104977842
Psychologist in New York, NY

Active since January 16, 2007Opted out of Medicare · through Jan 27, 2028
75 MAIDEN LN STE 319, NEW YORK, NY 10038(917) 753-5128 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theresa Claire Ph.d. NPPES

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

DR. THERESA CLAIRE PH.D. (NPI 1104977842) is an individual psychologist in New York, New York, licensed in New York (015155-1) and active in the NPI registry since January 2007. She has opted out of Medicare through January 27, 2028.

NPPES Registry Identity

NPI1104977842
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. THERESA CLAIRECredential: PH.D.
Location Address75 MAIDEN LN STE 319New York, NY 10038-4810
Mailing Address75 Maiden Ln Ste 319New York, NY 10038-4810 · (917) 753-5128
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
NPI 1104977842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 015155-1
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
75 MAIDEN LN STE 319, New York, NY 10038

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. Theresa Claire 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 January 27, 2026 through January 27, 2028.

Opt-Out Effective DateJanuary 27, 2026
Opt-Out In Effect ThroughJanuary 27, 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 Theresa Claire's NPI number?

The NPI number for Theresa Claire is 1104977842. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Theresa Claire located?

Theresa Claire practices at 75 Maiden Ln Ste 319, New York, NY 10038. The listed phone number is (917) 753-5128.

What is Theresa Claire's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Theresa Claire enrolled in Medicare?

No. Theresa Claire has opted out of Medicare through January 27, 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 Theresa Claire was last updated on February 24, 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.