Active NPI
Michelle Manuala Le Bow, PSY.D.
- Psychoanalysis Psychologist
- New York, NY
National Provider Identifier
1174556443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 000534-1
- Practice address
- 20 W 72ND St
Suite 1103
New York, NY 10023-4100 - Phone
- (212) 724-8767
- NPI assigned
- Jul 9, 2006
- Last updated
- Jul 8, 2007
- 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 | 000534-1 | NY | Primary |
Addresses
Primary practice location
20 W 72ND St
Suite 1103
New York, NY 10023-4100
Mailing address
40 W 77TH St
Apt #7F
New York, NY 10024-5128
Phone (212) 724-8767
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000534-1 | NY | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174556443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W 77TH ST",
"address_2": "APT #7F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245128",
"telephone_number": "212-724-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 72ND ST",
"address_2": "SUITE 1103",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234100",
"telephone_number": "212-724-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE BOW",
"first_name": "MICHELLE",
"middle_name": "MANUALA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "000534-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Catherine A Le Solliec, M.S. ED
- Joan Phyllis Le Var, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.