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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ISRAEL BIRNBAUM PH.D.
NPI 1790720159
Psychologist - Clinical in West Islip, NY

Active since June 19, 2006
111 BEACH DR, WEST ISLIP, NY 11795(631) 587-1600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Israel Birnbaum Ph.d. NPPES

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

ISRAEL BIRNBAUM PH.D. (NPI 1790720159) is an individual clinical provider in West Islip, New York, licensed in New York (005888-1) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1790720159
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameISRAEL BIRNBAUMCredential: PH.D.
Location Address111 BEACH DRWest Islip, NY 11795-4929
Mailing Address1 Old Country Rd, Suite 271Carle Place, NY 11514-1801 · (800) 725-6280 · Fax (800) 725-6380
Phone(631) 587-1600
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790720159 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 · 005888-1
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.
111 BEACH DR, West Islip, NY 11795
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Other Identifiers 1

Medicaid01616215NY

Other Providers at the Same Location NPPES 11

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

DR. ASHISH SANGAL MD
Internal Medicine (Hematology & Oncology)
111 BEACH DR
WEST ISLIP, NY 11795
Suffolk County (631) 666-6752
TIFFANY MARIE FUSCO NP
Nurse Practitioner (Adult Health)
111 BEACH DR
WEST ISLIP, NY 11795
Suffolk County (631) 587-1600
DR. SOPHIA LAN-YING FU MD
Surgery
111 BEACH DR
WEST ISLIP, NY 11795
Suffolk County (631) 417-8600
OUR LADY OF CONSOLATION GERIATRIC CARE CENTER
Skilled Nursing Facility
111 BEACH DR
WEST ISLIP, NY 11795
Suffolk County (631) 587-1600
PATRICIA LOTRIDGE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
111 BEACH DR
WEST ISLIP, NY 11795
Suffolk County (631) 587-1600
MS. EVA GAMBUZZA LPN
Licensed Practical Nurse
111 BEACH DR, OUR LADY OF CONSOLATION
W ISLIP, NY 11795
Suffolk County (631) 587-1600
MRS. DIANE MARGUERITE SWEZEY NP
Nurse Practitioner (Adult Health)
111 BEACH DR, MEDICAL STAFF OFFICE
WEST ISLIP, NY 11795
Suffolk County (631) 587-1600
KRYSTLE CALLAN
Nurse Practitioner (Adult Health)
111 BEACH DR
WEST ISLIP, NY 11795
Suffolk County (631) 417-8643

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 Israel Birnbaum's NPI number?

The NPI number for Israel Birnbaum is 1790720159. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Israel Birnbaum located?

Israel Birnbaum practices at 111 Beach Dr, West Islip, NY 11795. The listed phone number is (631) 587-1600.

What is Israel Birnbaum's specialty?

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

When was this NPI record last updated?

The NPPES record for Israel Birnbaum was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.