Active NPI
Lawrence Sullivan, NCPSYA
- Psychoanalyst
- New York, NY
National Provider Identifier
1265554182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000284
- Practice address
- 141 E 88TH St
New York, NY 10128-2273 - Phone
- (212) 289-4530
- NPI assigned
- Apr 3, 2007
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 000284 | NY | Primary |
Addresses
Primary practice location
141 E 88TH St
New York, NY 10128-2273
Mailing address
141 E 88TH St
New York, NY 10128-2273
Phone (212) 289-4530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000284 | Other | NY | STATE LICENSE |
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 |
|---|---|---|---|
| 000284 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1265554182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E 88TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282273",
"telephone_number": "212-289-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E 88TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282273",
"telephone_number": "212-289-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LAWRENCE",
"credential": "NCPSYA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "000284",
"state": "NY"
}
],
"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 Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.