Active NPI
Christine Brooke Austin, LCAT, ATR-BC
- Psychoanalyst
- New York, NY
National Provider Identifier
1134664261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 001990-1
- Practice address
- 1270 Broadway
New York, NY 10001-3211 - Phone
- (212) 419-1520
- NPI assigned
- Dec 28, 2016
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 001990-1 | NY | Primary |
Addresses
Primary practice location
1270 Broadway
New York, NY 10001-3211
Mailing address
2454 33Rd St # 2
Astoria, NY 11102-1137
Phone (917) 776-1304
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 |
|---|---|---|---|
| 001990-1 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1134664261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2454 33RD ST # 2",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021137",
"telephone_number": "917-776-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013211",
"telephone_number": "212-419-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "CHRISTINE",
"middle_name": "BROOKE",
"credential": "LCAT, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "001990-1",
"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 Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.