Active NPI
Lisa Altshuler, PHD
- Clinical Child & Adolescent Psychologist
- Brooklyn, NY
National Provider Identifier
1205821709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 009642
- Practice address
- 948 48TH St
Brooklyn, NY 11219-2918 - Phone
- (718) 283-8020
- Fax
- (718) 635-7235
- NPI assigned
- Sep 12, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 Child & Adolescent Psychologist | 103TC2200X | 009642 | NY | Primary |
Addresses
Primary practice location
948 48TH St
Brooklyn, NY 11219-2918
Mailing address
977 48TH St
Brooklyn, NY 11219-2919
Phone (718) 283-8015
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149768 | Other | NY | VALUE OPTIONS |
| P778754 | Other | NY | OXFORD |
| VS2651 | Other | NY | EMPIRE BCBS |
| 009642 | Other | NY | HIP |
| 01571526 | Medicaid | NY | |
| 6152321 | Other | NY | UNITED BEHAVIORAL HEALTH |
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205821709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192919",
"telephone_number": "718-283-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192918",
"telephone_number": "718-283-8020",
"fax_number": "718-635-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTSHULER",
"first_name": "LISA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "009642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "149768",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P778754",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "VS2651",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "009642",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01571526",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6152321",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.