IVETTE C. LEBENBERG PH.D.
NPI 1669658456
Psychologist - Clinical in Brooklyn, NY

Active since January 11, 2008PECOS EnrolledAccepts Medicare Assignment
5110 12TH AVE, BROOKLYN, NY 11219(800) 275-3243(800) 275-3671 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ivette C. Lebenberg Ph.d. NPPES

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

IVETTE C. LEBENBERG PH.D. (NPI 1669658456) is an individual clinical provider in Brooklyn, New York, licensed in New York (07321-1) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1669658456
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameIVETTE C. LEBENBERGCredential: PH.D.
Location Address5110 12TH AVEBrooklyn, NY 11219-3424
Mailing Address5110 12th AveBrooklyn, NY 11219-3424 · (800) 275-3243 · Fax (800) 275-3671
Fax(800) 275-3671
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 11, 2008
✔ NPI 1669658456 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 · 07321-1
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.
5110 12TH AVE, Brooklyn, NY 11219

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivette C. Lebenberg Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052493772
PECOS Enrollment IDI20080201000471
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ivette Lebenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
978 ROUTE 45 STE 104
Pomona, NY 10970
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

Specialist
5110 12TH AVE
BROOKLYN, NY 11219
Counselor (Mental Health)
5110 12TH AVE
BROOKLYN, NY 11219
Psychologist (Clinical)
5110 12TH AVE
BROOKLYN, NY 11219
Psychologist (Clinical)
5110 12TH AVE
BROOKLYN, NY 11219
Occupational Therapist
5110 12TH AVE
BROOKLYN, NY 11219
Chiropractor (Occupational Health)
5110 12TH AVE
BROOKLYN, NY 11219
Psychologist (Clinical)
5110 12TH AVE
BROOKLYN, NY 11219
Psychologist
5110 12TH AVE
BROOKLYN, NY 11219

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 Ivette Lebenberg's NPI number?

The NPI number for Ivette Lebenberg is 1669658456. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Ivette Lebenberg located?

Ivette Lebenberg practices at 5110 12th Ave, Brooklyn, NY 11219. The listed phone number is (800) 275-3243.

What is Ivette Lebenberg's specialty?

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

Is Ivette Lebenberg enrolled in Medicare?

Yes. Ivette Lebenberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ivette Lebenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivette Lebenberg reassigns Medicare benefits to Rockland Psychological Services PLLC (Pomona, NY). The 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 Ivette Lebenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivette Lebenberg accept?

Health plans from Oscar Health list Ivette Lebenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivette Lebenberg was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.