Individual
DR. RIVCKA EDELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1394 STONY BROOK RD, STONY BROOK, NY 11790-2205
(617) 429-8049
Mailing address
125 PLEASANT ST APT 609, BROOKLINE, MA 02446-7183
(617) 277-1961
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8090-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
8090-1
NY
103TC0700X
Clinical Psychologist
8090-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
8090-1
NY
103TF0000X
Family Psychologist
8090-1
NY
103TF0200X
Forensic Psychologist
Primary
8090-1
NY
106H00000X
Marriage & Family Therapist
8090-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058472
VALUE OPTIONS
NY
01
—
81182000
MAGELLAN BEHAVIORAL HEALT
NY
01
—
V5332
EMPIRE BLUE CROSS
NY
Enumeration date
04/17/2007
Last updated
09/11/2025
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