DR. RACHELLE DATTNER PH.D.
NPI 1518995463
Psychologist - Clinical in New York, NY

Q: What is Rachelle Dattner's NPI number?

The NPI number for Rachelle Dattner is 1518995463. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Rachelle Dattner's specialty?

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

Q: Is Rachelle Dattner enrolled in Medicare?

No. Rachelle Dattner has opted out of Medicare through December 9, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Rachelle Dattner was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 29, 2006Opted out of Medicare · through Dec 9, 2026

130 W 57TH ST, 11E, NEW YORK, NY 10019(212) 397-3765 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Rachelle Dattner Ph.d. NPPES

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

DR. RACHELLE DATTNER PH.D. (NPI 1518995463) is an individual clinical provider in New York, New York, licensed in New York (4179) and active in the NPI registry since June 2006. She has opted out of Medicare through December 9, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518995463

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RACHELLE DATTNERCredential: PH.D.

Location Address130 W 57TH ST, 11ENew York, NY 10019-3303

Mailing Address130 W 57th St, Suite 11eNew York, NY 10019-3303 · (212) 397-3765

Phone(212) 397-3765

Sole ProprietorYes

Enumeration DateJune 29, 2006

Last NPPES UpdateApril 24, 2012

✔ NPI 1518995463 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 · 4179

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.

130 W 57TH ST, New York, NY 10019

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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. Rachelle Dattner 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 December 9, 2016 through December 9, 2026.

Opt-Out Effective DateDecember 9, 2016

Opt-Out In Effect ThroughDecember 9, 2026Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rachelle Dattner's NPI number?

The NPI number for Rachelle Dattner is 1518995463. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Rachelle Dattner located?

Rachelle Dattner practices at 130 W 57th St 11E, New York, NY 10019. The listed phone number is (212) 397-3765.

What is Rachelle Dattner's specialty?

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

Is Rachelle Dattner enrolled in Medicare?

No. Rachelle Dattner has opted out of Medicare through December 9, 2026. 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 Rachelle Dattner was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.