Individual provider Active NPI

Lisa Pasch, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1023205523
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017263 Issued in NY
Practice address
1270 Avenue of the Americas
7TH FL - 1011
New York, NY 10020
Phone
(646) 389-5538
NPI assigned
Sep 27, 2007
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 68 017263 NY
Clinical Psychologist 103TC0700X 017263 NY Primary

Addresses

Primary practice location

1270 Avenue of the Americas
7TH FL - 1011
New York, NY 10020

Mailing address

1270 Avenue of the Americas
7TH FL - 1011
New York, NY 10020
Phone (646) 389-5538

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
68 017263NYMDClinical Psychologist
017263NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lisa Pasch, Psychologist, PLLC Past Accepting new patients
SLR Psychiatric Associates Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1023205523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 AVENUE OF THE AMERICAS",
            "address_2": "7TH FL - 1011",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10020",
            "telephone_number": "646-389-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 AVENUE OF THE AMERICAS",
            "address_2": "7TH FL - 1011",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10020",
            "telephone_number": "646-389-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCH",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68 017263",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017263",
            "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 Mar 17, 2022; 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.