Individual provider Active NPI

Nita Lutwak, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1184975807
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
007036 Issued in NY
Practice address
239 E 18TH St
2A
New York, NY 10003-3655
Phone
(212) 995-0566
NPI assigned
Sep 20, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 007036 NY Primary
Counseling Psychologist 103TC1900X 007036 NY

Addresses

Primary practice location

239 E 18TH St
2A
New York, NY 10003-3655

Mailing address

205 3Rd Ave Apt 8N
New York, NY 10003-2514
Phone (212) 995-0567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 9, 2025 through Dec 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
007036NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1184975807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 3RD AVE APT 8N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032514",
            "telephone_number": "212-995-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E 18TH ST",
            "address_2": "2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033655",
            "telephone_number": "212-995-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTWAK",
        "first_name": "NITA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007036",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "007036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.