Active NPI
Charikeia Ntalla-Konstandis, LP
- Psychoanalyst
- New York, NY
National Provider Identifier
1275167983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 001065
- Practice address
- 80 5TH Ave RM 901
New York, NY 10011-8018 - Phone
- (917) 915-6307
- NPI assigned
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 001065 | NY | Primary |
Addresses
Primary practice location
80 5TH Ave RM 901
New York, NY 10011-8018
Mailing address
2522 35TH St FL 2
Astoria, NY 11103-4803
Phone (917) 915-6307
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 |
|---|---|---|---|
| 001065 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1275167983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 35TH ST FL 2",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034803",
"telephone_number": "917-915-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 5TH AVE RM 901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118018",
"telephone_number": "917-915-6307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NTALLA-KONSTANDIS",
"first_name": "CHARIKEIA",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "001065",
"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 Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.