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DR. ILYSE SPERTUS PH.D.
NPI 1720321847
Psychologist - Cognitive & Behavioral in New York, NY

Active since March 27, 2013Opted out of Medicare · through Feb 1, 2028
425 MADISON AVENUE, SUITE 1502, NEW YORK, NY 10017(646) 942-6712(914) 698-5571 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Ilyse Spertus Ph.d. NPPES

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

DR. ILYSE SPERTUS PH.D. (NPI 1720321847) is an individual cognitive & behavioral provider in New York, New York, licensed in New York (8133543) and active in the NPI registry since March 2013. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1720321847
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. ILYSE SPERTUSCredential: PH.D.
Location Address425 MADISON AVENUE, SUITE 1502New York, NY 10017
Mailing Address425 Madison Avenue, Suite 1502New York, NY 10017 · (646) 942-6712 · Fax (914) 698-5571
Phone(646) 942-6712
Fax(914) 698-5571
Sole ProprietorYes
Enumeration DateMarch 27, 2013
Last NPPES UpdateNovember 9, 2016
✔ NPI 1720321847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in NY · 8133543
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 8133543 (NY)
425 MADISON AVENUE, New York, NY 10017
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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. Ilyse Spertus 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 February 1, 2020 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2020
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Ilyse Spertus's NPI number?

The NPI number for Ilyse Spertus is 1720321847. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Ilyse Spertus located?

Ilyse Spertus practices at 425 Madison Avenue Suite 1502, New York, NY 10017. The listed phone number is (646) 942-6712.

What is Ilyse Spertus's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Ilyse Spertus enrolled in Medicare?

No. Ilyse Spertus has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ilyse Spertus was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.