Active NPI
Lynn P Tishman, LCSW, PH.D.
- Social Worker
- New York, NY
National Provider Identifier
1043319759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0521941
- Practice address
- 329 E 62ND St
Karen Horney Clinic
New York, NY 10065-7705 - Phone
- (212) 838-4333
- Fax
- (212) 838-7158
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R0521941 | NY | Primary |
Addresses
Primary practice location
329 E 62ND St
Karen Horney Clinic
New York, NY 10065-7705
Mailing address
840 Park Ave
New York, NY 10021
Phone (212) 988-8855
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0521941 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Postgraduate Center for Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1629127725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1043319759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-988-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 E 62ND ST",
"address_2": "KAREN HORNEY CLINIC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657705",
"telephone_number": "212-838-4333",
"fax_number": "212-838-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISHMAN",
"first_name": "LYNN",
"middle_name": "P",
"credential": "LCSW, PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0521941",
"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 Sep 5, 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.