Individual provider Active NPI

Judith C Lobel, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1285707182
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007346 Issued in NY
Practice address
230 W 13TH St
Ste 3K
New York, NY 10011-7746
Phone
(212) 242-1019
Fax
(516) 977-3266
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 007346 NY Primary

Addresses

Primary practice location

230 W 13TH St
Ste 3K
New York, NY 10011-7746

Mailing address

230 W 13TH St
# 3K
New York, NY 10011-7746
Phone (212) 677-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000647 NY Practitioner - Clinical Psychologist 1850422759 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

230 W 13TH St
Suite 3K
New York, NY 10011-7746
Phone (212) 242-1019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
007346NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1285707182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 13TH ST",
            "address_2": "# 3K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117746",
            "telephone_number": "212-677-8441",
            "fax_number": "516-921-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W 13TH ST",
            "address_2": "STE 3K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117746",
            "telephone_number": "212-242-1019",
            "fax_number": "516-977-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBEL",
        "first_name": "JUDITH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.