Lifeline Psychological, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014325-1 Issued in NY

Legal business name

LIFELINE PSYCHOLOGICAL, P.C.

Practice address

86 East 49TH Street
Suite a
Brooklyn, NY 11203

Phone

(917) 586-5652

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Morrison, PSY D

Title

Clinical Psychologist / Owner

Phone

(917) 586-5652

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Tyrone Custis, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1811976970
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1154590990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 6TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232651",
            "telephone_number": "917-586-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 EAST 49TH STREET",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "917-586-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PSYCHOLOGICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "917-586-5652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014325-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline Community Health LLC
• Lifeline Medical Corp.
• Lifeline Medical Imaging PC
• Lifeline Medical Supply
• Lifeline Physical Therapy PLLC
• Lifelong Medical Diagnostics PC
• Lifelong Medical, P.C.
• Lifesaver Medical Supplies
• Lifeskills Physical Therapy PLLC
• Lifespan Cru LLC

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.