Active NPI
David Joseph Louick, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1255406823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 004252-1
- Practice address
- 83 Maiden LN
New York, NY 10038-4812 - Phone
- (212) 780-2578
- Fax
- (212) 777-3918
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 004252-1 | NY | Primary |
Addresses
Primary practice location
83 Maiden LN
New York, NY 10038-4812
Mailing address
17 7TH Ave
Brooklyn, NY 11217-3403
Phone (718) 622-5715
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004252-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255406823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173403",
"telephone_number": "718-622-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 MAIDEN LN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384812",
"telephone_number": "212-780-2578",
"fax_number": "212-777-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUICK",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "004252-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.