Individual provider Active NPI

Britt Erica Gottlich, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1033620091
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
022437 Issued in NY
Practice address
3 E 85TH St # 1B
New York, NY 10028-0417
Phone
(212) 734-0506
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 022437 NY Primary

Addresses

Primary practice location

3 E 85TH St # 1B
New York, NY 10028-0417

Mailing address

3 E 85TH St Ste 1B
New York, NY 10028-0417
Phone (917) 818-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022437NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1033620091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E 85TH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280417",
            "telephone_number": "917-818-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 85TH ST # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280417",
            "telephone_number": "212-734-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLICH",
        "first_name": "BRITT",
        "middle_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.