Active NPI
John Litt
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1255702049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014814-1
- Practice address
- 595 Gerard Ave
Bronx, NY 10451-5239 - Phone
- (718) 742-6067
- NPI assigned
- Oct 19, 2015
- Last updated
- Oct 19, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014814-1 | NY | Primary |
Addresses
Primary practice location
595 Gerard Ave
Bronx, NY 10451-5239
Mailing address
278 N Washington St Apt 2
Sleepy Hollow, NY 10591-2329
Phone (718) 742-6067
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014814-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1255702049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 N WASHINGTON ST APT 2",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105912329",
"telephone_number": "718-742-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 GERARD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104515239",
"telephone_number": "718-742-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITT",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014814-1",
"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 Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.