Active NPI
Lorne Mathew Schussel
- Clinical Psychologist
- New York, NY
National Provider Identifier
1164907614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024075-01
- Practice address
- 125 E 84TH St
New York, NY 10028-0902 - Phone
- (917) 301-4034
- NPI assigned
- Oct 1, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 024075-01 | NY | Primary |
Addresses
Primary practice location
125 E 84TH St
New York, NY 10028-0902
Mailing address
103 E 86TH St Apt 1E
New York, NY 10028-1041
Phone (917) 301-4034
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 |
|---|---|---|---|
| 024075-01 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1164907614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E 86TH ST APT 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281041",
"telephone_number": "917-301-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E 84TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280902",
"telephone_number": "917-301-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUSSEL",
"first_name": "LORNE",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-01",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024075-01",
"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 Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.