TIFFANY ANN AVON PSY D PC
NPI 1457833261
Psychologist - Clinical in Manhasset, NY

Q: What is Tiffany Ann Avon Psy D PC's NPI number?

The NPI number for Tiffany Ann Avon Psy D PC is 1457833261. It was assigned to this organization in the NPPES registry on August 29, 2018.

Q: What is Tiffany Ann Avon Psy D PC's specialty?

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

Active since August 29, 2018

585 PLANDOME RD STE 105, MANHASSET, NY 11030(917) 887-2783 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2021, Aug 29, 2018 (2 updates tracked since 2018).

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About Tiffany Ann Avon Psy D Pc NPPES

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

TIFFANY ANN AVON PSY D PC (NPI 1457833261) is a healthcare organization registered as a clinical in Manhasset, New York and active in the NPI registry since August 2018. The organization maintains 2 additional practice locations and lists Tiffany Avon, Director, as its authorized official.

NPPES Registry Identity

NPI1457833261

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameTIFFANY ANN AVON PSY D PC

Location Address585 PLANDOME RD STE 105Manhasset, NY 11030-1971

Mailing Address20 Canterbury LnRidgefield, CT 06877-1102

Phone(917) 887-2783

Organization SubpartNo

Authorized OfficialTiffany AvonDirector · (917) 887-2783

Enumeration DateAugust 29, 2018

Last NPPES UpdateMay 20, 20212 updates tracked since enumeration

NPPES CertifiedMay 20, 2021

✔ NPI 1457833261 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 · 020146

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.

585 PLANDOME RD STE 105, Manhasset, NY 11030

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Secondary Practice Locations 2

Location 11129 Northern Blvd Ste 404Manhasset, NY 11030-3022 · Phone (914) 904-4499

Location 21689 Route 22Brewster, NY 10509-4022 · Phone (914) 904-4499

Other Identifiers 1

Other020146NY · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Ann Avon Psy D Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tiffany Ann Avon Psy D PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tiffany Avon

Clinical Psychologist

NPI 1912364373

207-28 JORDAN DRICE
Bayside, NY 11360

(917) 887-2783

✔ PECOS4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tiffany Ann Avon Psy D PC's NPI number?

The NPI number for Tiffany Ann Avon Psy D PC is 1457833261. It was assigned to this organization in the NPPES registry on August 29, 2018.

Where is Tiffany Ann Avon Psy D PC located?

Tiffany Ann Avon Psy D PC is located at 585 Plandome Rd Ste 105, Manhasset, NY 11030. The listed phone number is (917) 887-2783.

What is Tiffany Ann Avon Psy D PC's specialty?

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

Is Tiffany Ann Avon Psy D PC enrolled in Medicare?

Yes. Tiffany Ann Avon Psy D PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tiffany Ann Avon Psy D PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Tiffany Ann Avon Psy D PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Ann Avon Psy D PC was last updated on May 20, 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.