Individual provider Active NPI

Luis Laviena, PHD

  • Cognitive & Behavioral Psychologist
  • New York, NY
National Provider Identifier
1003012394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
12787 Issued in NY
Practice address
201 E 28TH St Apt 4K
New York, NY 10016-8538
Phone
(212) 252-0396
Fax
(212) 679-3015
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 12787 NY Primary

Addresses

Primary practice location

201 E 28TH St Apt 4K
New York, NY 10016-8538

Mailing address

201 E 28TH St Apt 4K
4L
New York, NY 10016-8538
Phone (212) 252-0396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12787NYMDCognitive & Behavioral Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003012394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 28TH ST APT 4K",
            "address_2": "4L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168538",
            "telephone_number": "212-252-0396",
            "fax_number": "212-679-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 28TH ST APT 4K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168538",
            "telephone_number": "212-252-0396",
            "fax_number": "212-679-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIENA",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "12787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.