Active NPI
Philip Bernard Listengart, PSYCHOANALYST
- Psychoanalyst
- New York, NY
National Provider Identifier
1124245170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000773
- Practice address
- 26 W 9TH St
Suite 7a
New York, NY 10011-8971 - Phone
- (646) 641-2543
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 000773 | NY | Primary |
Addresses
Primary practice location
26 W 9TH St
Suite 7a
New York, NY 10011-8971
Mailing address
647 E 14TH St
Apt. MB
New York, NY 10009-3101
Phone (212) 460-8640
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 |
|---|---|---|---|
| 000773 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124245170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 E 14TH ST",
"address_2": "APT. MB",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100093101",
"telephone_number": "212-460-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 W 9TH ST",
"address_2": "SUITE 7A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118971",
"telephone_number": "646-641-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISTENGART",
"first_name": "PHILIP",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "PSYCHOANALYST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000773",
"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 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.