Individual provider Active NPI

Nancy Lipsitt, PH.D

  • Clinical Psychologist
  • Fayetteville, NY
National Provider Identifier
1295990398
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017466 Issued in NY
Practice address
7000 E Genesee St Ste B2
Fayetteville, NY 13066-1132
Phone
(646) 218-1250
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 017466 NY Primary

Addresses

Primary practice location

7000 E Genesee St Ste B2
Fayetteville, NY 13066-1132

Mailing address

7000 E Genesee St Ste B2
Fayetteville, NY 13066-1132
Phone (646) 218-1250

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
I20190517000993 NY Practitioner - Clinical Psychologist 3375886138 Practice locations: Fayetteville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7000 E Genesee St
Suite B2
Fayetteville, NY 13066-1132
Phone (646) 218-1250

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1295990398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST STE B2",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661132",
            "telephone_number": "646-218-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST STE B2",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661132",
            "telephone_number": "646-218-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSITT",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

Verify at the official NPI Registry.