MEDICARE: DR. BEATRICE ALICE BEEBE PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	102L00000X	Psychoanalyst
2	103TC0700X	Clinical Psychologist	004624	NY

General Provider Information

NPI Number	:	1053530543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEATRICE ALICE BEEBE PHD

Provider Business Mailing Address
First Line	:	219 W 22ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-2702
Country	:	US
Telephone Number	:	212-675-1918
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 W 22ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-2702
Country	:	US
Telephone Number	:	212-675-1918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	09/11/2025

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