Active NPI
Lauren Todd
- Clinical Psychologist
- New York, NY
National Provider Identifier
1043700339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00667600
- Practice address
- 1115 Broadway FL 12
New York, NY 10010-3452 - Phone
- (201) 819-0746
- NPI assigned
- May 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 35SI00667600 | NJ | Primary |
Addresses
Primary practice location
1115 Broadway FL 12
New York, NY 10010-3452
Mailing address
92 Third St
New City, NY 10956-5929
Other practice location 1
35 Dock St
Yonkers, NY 10701-2733
Phone (201) 819-0746
Other practice location 2
239 Madison Ave
Wyckoff, NJ 07481-1948
Phone (201) 669-1369 ext. 6
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 5, 2025 through Jul 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00667600 | NJ | MD | Clinical Psychologist |
| 025367 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1043700339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 THIRD ST",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 BROADWAY FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100103452",
"telephone_number": "201-819-0746"
}
],
"practiceLocations": [
{
"address_1": "35 Dock St",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107012733",
"country_code": "US",
"telephone_number": "201-819-0746",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "239 Madison Ave",
"address_purpose": "LOCATION",
"city": "Wyckoff",
"state": "NJ",
"postal_code": "074811948",
"country_code": "US",
"telephone_number": "201-669-1369 x6",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00667600",
"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 Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.