Active NPI
Luis Eduardo Carneiro Nobrega, PSY.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1043723612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022361-1
- Practice address
- 38 Gramercy Park N Apt 1a
New York, NY 10010-7434 - Phone
- (212) 271-0180
- NPI assigned
- Nov 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022361-1 | NY | Primary |
Addresses
Primary practice location
38 Gramercy Park N Apt 1a
New York, NY 10010-7434
Mailing address
521 E 14TH St Apt 12a
New York, NY 10009-2919
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022361-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1043723612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 E 14TH ST APT 12A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 GRAMERCY PARK N APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107434",
"telephone_number": "212-271-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBREGA",
"first_name": "LUIS",
"middle_name": "EDUARDO CARNEIRO",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022361-1",
"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 Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.