DR. CHAIM E. BROMBERG PH.D.
NPI 1639185762
Psychologist in Harrison, NY

Active since July 31, 2006Opted out of Medicare · through Jul 1, 2027
550 MAMARONECK AVE, SUITE 305, HARRISON, NY 10528(914) 589-4220 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Chaim E. Bromberg Ph.d. NPPES

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

DR. CHAIM E. BROMBERG PH.D. (NPI 1639185762) is an individual psychologist in Harrison, New York, licensed in New York (01632401) and active in the NPI registry since July 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639185762
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHAIM E. BROMBERGCredential: PH.D.
Location Address550 MAMARONECK AVE, SUITE 305Harrison, NY 10528-1634
Mailing Address550 Mamaroneck Ave, Suite 305Harrison, NY 10528-1634 · (914) 589-4220
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateSeptember 3, 2013
✔ NPI 1639185762 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 · 01632401
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.
550 MAMARONECK AVE, Harrison, NY 10528

Other Identifiers 2

Medicare ID-Type UnspecifiedCB0V876X10NE · Ems Provider Number
Medicaid02739182NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Chaim E. Bromberg 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, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 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 20

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

Physical Therapist
550 MAMARONECK AVE
HARRISON, NY 10528
Specialist
550 MAMARONECK AVE, SUITE 101
HARRISON, NY 10528
Chiropractor
550 MAMARONECK AVE, SUITE 103
HARRISON, NY 10528
Chiropractor
550 MAMARONECK AVE, SUITE 103
HARRISON, NY 10528
Physical Therapist
550 MAMARONECK AVE
HARRISON, NY 10528
Chiropractor
550 MAMARONECK AVE, STE 103
HARRISON, NY 10528
Counselor (Mental Health)
550 MAMARONECK AVE, SUITE 102
HARRISON, NY 10528
Occupational Therapist
550 MAMARONECK AVE
HARRISON, NY 10528

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 Chaim Bromberg's NPI number?

The NPI number for Chaim Bromberg is 1639185762. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Chaim Bromberg located?

Chaim Bromberg practices at 550 Mamaroneck Ave Suite 305, Harrison, NY 10528. The listed phone number is (914) 589-4220.

What is Chaim Bromberg's specialty?

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

Is Chaim Bromberg enrolled in Medicare?

No. Chaim Bromberg has opted out of Medicare through July 1, 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 Chaim Bromberg was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.