Active NPI
Lee Geisen, PHD
- Clinical Psychologist
- Manhasset, NY
National Provider Identifier
1154490415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 006614
- Practice address
- 444 Community Dr
Suite 306
Manhasset, NY 11030-3820 - Phone
- (516) 365-6533
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 6614 | NY | |
| Clinical Psychologist | 103TC0700X | 006614 | NY | Primary |
| Psychologist | 103T00000X | 6614 | NY | |
| Group Psychotherapy Psychologist | 103TP2701X | 6614 | NY |
Addresses
Primary practice location
444 Community Dr
Suite 306
Manhasset, NY 11030-3820
Mailing address
444 Community Drive
Suite 306
Manhasset, NY 11030-3820
Phone (516) 365-6533
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0071646 | Other | NY | GHI |
| 103281000 | Other | NY | MAGELLAN HEALTH SERVICES |
| 01602684 | Medicaid | NY |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6614 | NY | MD | Psychoanalysis Psychologist |
| 006614 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1154490415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 COMMUNITY DRIVE",
"address_2": "SUITE 306",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303820",
"telephone_number": "516-365-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR",
"address_2": "SUITE 306",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303820",
"telephone_number": "516-365-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISEN",
"first_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "6614",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "006614",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "6614",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NY",
"license": "6614",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0071646",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "103281000",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01602684",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.