DR. ELLEN GUSSAROFF LCSW, PH.D.
NPI 1124242953
Psychoanalyst in New York, NY

Active since April 12, 2007Opted out of Medicare · through May 24, 2027
120 E 36TH ST, STE #1H, NEW YORK, NY 10016(212) 686-1547 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ellen Gussaroff Lcsw, Ph.d. NPPES

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

DR. ELLEN GUSSAROFF LCSW, PH.D. (NPI 1124242953) is an individual psychoanalyst provider in New York, New York, licensed in New York (R0281851) and active in the NPI registry since April 2007. She has opted out of Medicare through May 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124242953
Entity TypeIndividualFemale
Primary Taxonomy102L00000X
Provider Legal NameDR. ELLEN GUSSAROFFCredential: LCSW, PH.D.
Location Address120 E 36TH ST, STE #1HNew York, NY 10016-3465
Mailing Address120 E 36th St, Ste #1hNew York, NY 10016-3465 · (212) 686-1547
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124242953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychoanalystBehavioral Health & Social Service Providers
Taxonomy Code102L00000X
License Licensed in NY · R0281851
Definition

Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.

120 E 36TH ST, New York, NY 10016

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. Ellen Gussaroff Lcsw, 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 May 24, 2017 through May 24, 2027.

Opt-Out Effective DateMay 24, 2017
Opt-Out In Effect ThroughMay 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
120 E 36TH ST, SUITE 1A
NEW YORK, NY 10016
Dentist (General Practice)
120 E 36TH ST, SUITE 1A
NEW YORK, NY 10016
Psychologist
120 E 36TH ST, 1-G
NEW YORK, NY 10016
Social Worker (Clinical)
120 E 36TH ST, STE 1G
NEW YORK, NY 10016
Social Worker (Clinical)
120 E 36TH ST, APT 1H
NEW YORK, NY 10016
Ophthalmology
120 E 36TH ST
NEW YORK, NY 10016
Internal Medicine
120 E 36TH ST, STE 1E
NEW YORK, NY 10016
Social Worker (Clinical)
120 E 36TH ST, 1G
NEW YORK, NY 10016

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 Ellen Gussaroff's NPI number?

The NPI number for Ellen Gussaroff is 1124242953. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Ellen Gussaroff located?

Ellen Gussaroff practices at 120 E 36th St Ste #1h, New York, NY 10016. The listed phone number is (212) 686-1547.

What is Ellen Gussaroff's specialty?

The primary specialty registered for this NPI is Psychoanalyst with taxonomy code 102L00000X.

Is Ellen Gussaroff enrolled in Medicare?

No. Ellen Gussaroff has opted out of Medicare through May 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ellen Gussaroff was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.