Individual provider Active NPI

Ella Lasky, PH. D.

  • Psychologist
  • New York, NY
National Provider Identifier
1144256207
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4241 Issued in NY
Practice address
865 W End Ave
1A
New York, NY 10025-8401
Phone
(212) 666-8478
Fax
(212) 253-1089
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4241 NY Primary

Addresses

Primary practice location

865 W End Ave
1A
New York, NY 10025-8401

Mailing address

865 W End Ave
1A
New York, NY 10025-8401
Phone (212) 666-8478

Other identifiers 1

IdentifierTypeStateIssuer
V19511OtherNYMEDICARE

Other names 1

  • Dr. Ella Lasky Cardon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000700 NY Practitioner - Clinical Psychologist 5294774931 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

865 W End Ave
New York, NY 10025-8402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004241NYMDBehavioral Analyst
4241NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Landmann, LCSW, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1144256207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 W END AVE",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258401",
            "telephone_number": "212-666-8478",
            "fax_number": "212-531-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 W END AVE",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258401",
            "telephone_number": "212-666-8478",
            "fax_number": "212-253-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKY",
        "first_name": "ELLA",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "4241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V19511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLA",
            "last_name": "CARDON",
            "middle_name": "LASKY",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.