Active NPI
Comprehensive Neuropsychology Services PC
- Clinical Psychologist
- New York, NY
National Provider Identifier
1104348283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- COMPREHENSIVE NEUROPSYCHOLOGY SERVICES PC
- Practice address
- 99 Madison Ave FL 5
New York, NY 10016-7419 - Phone
- (917) 740-8195
- NPI assigned
- Jul 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luba Nakhutina, PHD
- Title
- President/Sole Owner
- Phone
- (917) 740-8195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
99 Madison Ave FL 5
New York, NY 10016-7419
Mailing address
880 W 181St St Apt 5a
New York, NY 10033-4474
Phone (917) 740-8195
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499731200000",
"number": "1104348283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 W 181ST ST APT 5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100334474",
"telephone_number": "917-740-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MADISON AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167419",
"telephone_number": "917-740-8195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE NEUROPSYCHOLOGY SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-11",
"last_updated": "2017-07-11",
"status": "A",
"authorized_official_last_name": "NAKHUTINA",
"authorized_official_first_name": "LUBA",
"authorized_official_title_or_position": "PRESIDENT/SOLE OWNER",
"authorized_official_telephone_number": "917-740-8195",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.