Organization Active NPI

Manhattan Psychological PLLC

  • Psychologist
  • Bronx, NY
National Provider Identifier
1205142585
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MANHATTAN PSYCHOLOGICAL PLLC
Practice address
1910 Pelham Pkwy S
Suite 1B
Bronx, NY 10461-3726
Phone
(718) 823-4864
NPI assigned
Aug 25, 2010
Last updated
Aug 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Dr. Adam Lynn, PSYDNPI 1154463263
Title
Psychologist
Phone
(201) 385-2575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1910 Pelham Pkwy S
Suite 1B
Bronx, NY 10461-3726

Mailing address

1910 Pelham Pkwy S
Suite 1B
Bronx, NY 10461-3726
Phone (718) 823-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100914000923 NY Part B Supplier - Clinic/Group Practice 3173648151 Receives reassigned benefits from 1 practitioner
Practice locations: Hartsdale, NY

National Provider Directory

National Provider Directory

Locations

1910 Pelham Pkwy S
Apt 1B
Bronx, NY 10461
Phone (718) 823-4864

2307 Eastchester Rd
Bronx, NY 10469
Phone (646) 456-0205

250 E Hartsdale Ave
Ste 23
Hartsdale, NY 10530
Phone (646) 456-0205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1205142585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PELHAM PKWY S",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613726",
            "telephone_number": "718-823-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PELHAM PKWY S",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613726",
            "telephone_number": "718-823-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN PSYCHOLOGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-385-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.