Soho Integrative Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOHO INTEGRATIVE PSYCHOLOGICAL SERVICES PLLC

Doing business as

NY Health Hypnosis & Integrative Therapy

Practice address

177 Prince St Apt 401
New York, NY 10012-2935

Phone

(646) 537-1713

NPI assigned

Jun 8, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sera Lavelle, PHDNPI 1891081527

Title

Owner

Phone

(646) 537-1713

Specialties & licenses 1

Addresses

Other names 1

• NY Health Hypnosis & Integrative Therapy Doing business as

Locations

Practitioners 3

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.

• Sera Lavelle, PH.D

  • Clinical Psychologist
  • New York, NY
  • NPI 1891081527
  NPD Authorized official
• Demi Cush

  • Psychologist
  • Hoboken, NJ
  • NPI 1326571209
  NPD (past)
• Laura Faiwiszewski, PSYD

  • Clinical Psychologist
  • Cape Canaveral, FL
  • NPI 1083298590
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1215621545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 CENTRAL AVE STE 400",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013853",
            "telephone_number": "917-566-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 PRINCE ST APT 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122935",
            "telephone_number": "646-537-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHO INTEGRATIVE PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "SERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-537-1713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY Health Hypnosis & Integrative Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.