DR. SALLY SHORE EISENMAN PH.D
NPI 1669690582
Psychologist in Port Washington, NY

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
35 HILLTOP RD, PORT WASHINGTON, NY 11050(516) 944-3538(516) 883-9312 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sally Shore Eisenman Ph.d NPPES

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

DR. SALLY SHORE EISENMAN PH.D (NPI 1669690582) is an individual psychologist in Port Washington, New York, licensed in New York (7952) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1669690582
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SALLY SHORE EISENMANCredential: PH.D
Location Address35 HILLTOP RDPort Washington, NY 11050-2725
Mailing Address35 Hilltop RdPort Washington, NY 11050-2725 · (516) 944-3538 · Fax (516) 883-9312
Fax(516) 883-9312
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1669690582 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 · 7952
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.
35 HILLTOP RD, Port Washington, NY 11050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sally Shore Eisenman 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 ID4082866231
PECOS Enrollment IDI20121214000273
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.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
35 HILLTOP RD
PORT WASHINGTON, NY 11050

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 Sally Eisenman's NPI number?

The NPI number for Sally Eisenman is 1669690582. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Sally Eisenman located?

Sally Eisenman practices at 35 Hilltop Rd, Port Washington, NY 11050. The listed phone number is (516) 944-3538.

What is Sally Eisenman's specialty?

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

Is Sally Eisenman enrolled in Medicare?

Yes. Sally Eisenman 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.

When was this NPI record last updated?

The NPPES record for Sally Eisenman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.