Active NPI
Lori Caristia, PSY.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1124183793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013678-1
- Practice address
- 536 Clinton St
Brooklyn, NY 11231-3306 - Phone
- (718) 522-0788
- Fax
- (718) 522-0788
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013678-1 | NY | Primary |
Addresses
Primary practice location
536 Clinton St
Brooklyn, NY 11231-3306
Mailing address
536 Clinton St
Brooklyn, NY 11231-3306
Phone (718) 522-0788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522802 | Other | NY | VALUEOPTIONS ID NUMBER |
| P2803087 | Other | NY | OXFORD PROVIDER ID NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013678-1 | NY | MD | Psychologist |
| 013678 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124183793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 CLINTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112313306",
"telephone_number": "718-522-0788",
"fax_number": "718-522-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 CLINTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112313306",
"telephone_number": "718-522-0788",
"fax_number": "718-522-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARISTIA",
"first_name": "LORI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013678-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS ID NUMBER",
"identifier": "522802",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID NUMBER",
"identifier": "P2803087",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.