Active NPI
Gail Sandra Israelson, LP
- Psychoanalysis Psychologist
- New York, NY
National Provider Identifier
1134872880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 001002-01
- Practice address
- 40 W 116TH St Apt B505
New York, NY 10026-0996 - Phone
- (917) 361-0860
- NPI assigned
- Feb 2, 2022
- 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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 001002-01 | NY | Primary |
Addresses
Primary practice location
40 W 116TH St Apt B505
New York, NY 10026-0996
Mailing address
40 W 116TH St Apt B505
New York, NY 10026-0996
Phone (917) 361-0860
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop | Direct | |
| CONNECT URL | Desktop | Direct |
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 |
|---|---|---|---|
| 001002-01 | NY | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1134872880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W 116TH ST APT B505",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100260996",
"telephone_number": "917-361-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 W 116TH ST APT B505",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100260996",
"telephone_number": "917-361-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAELSON",
"first_name": "GAIL",
"middle_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "001002-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop",
"affiliation": "N",
"endpointDescription": "Computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "40 W 116th St Apt B505",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100260996",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop",
"affiliation": "N",
"endpointDescription": "Computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "40 W 116th St Apt B505",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100260996",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.