Individual provider Active NPI

Lily Hung, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1194089649
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
017444 Issued in NY
Practice address
220 5TH Ave FL 11
New York, NY 10001-8017
Phone
(646) 470-0030
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 017444 NY Primary
Psychologist 103T00000X 3338 NH
Clinical Psychologist 103TC0700X 35SI00669100 NJ

Addresses

Primary practice location

220 5TH Ave FL 11
New York, NY 10001-8017

Mailing address

220 5TH Ave FL 11
New York, NY 10001-8017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00669100NJMDClinical Psychologist
3338NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Professional Partners SLP & Psychology PLLC Psychologist CurrentSince Dec 1, 2012 Accepting new patients
Grunblatt Psychology and Counseling Offices, P.C. CurrentSince Aug 10, 2022 Accepting new patients
Hapworth Center Inc. Past Accepting new patients

Locations

21245 26th Ave
Ste 8A
Bayside, NY 11360
Phone (718) 229-7845

3104 E Tremont Ave
#B
Bronx, NY 10461
Phone (718) 246-7478

124 Green St
Kingston, NY 12401
Phone (845) 331-3001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1194089649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVE FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018017",
            "telephone_number": "646-470-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNG",
        "first_name": "LILY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017444",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "3338",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00669100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.