Active NPI
Elizabeth Helene Lyngholm, L.P.
- Psychoanalyst
- Hampton Bays, NY
National Provider Identifier
1104332675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 00964-1
- Practice address
- 34 Sherwood Rd
Hampton Bays, NY 11946-3615 - Phone
- (347) 387-1248
- NPI assigned
- Dec 20, 2017
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 00964-1 | NY | Primary |
Addresses
Primary practice location
34 Sherwood Rd
Hampton Bays, NY 11946-3615
Mailing address
34 Sherwood Rd
Hampton Bays, NY 11946-3615
Phone (347) 387-1248
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 |
|---|---|---|---|
| 00964-1 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1104332675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 SHERWOOD RD",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119463615",
"telephone_number": "347-387-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 SHERWOOD RD",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119463615",
"telephone_number": "347-387-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNGHOLM",
"first_name": "ELIZABETH",
"middle_name": "HELENE",
"name_prefix": "Ms.",
"credential": "L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "00964-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton Bays, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.