Active NPI
Rachel Widawsky
- Psychoanalysis Psychologist
- New York, NY
National Provider Identifier
1306644224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- LP001134
- Practice address
- 303 5TH Ave
Suite 804
New York, NY 10016-6683 - Phone
- (312) 718-3019
- NPI assigned
- Mar 5, 2025
- 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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | LP001134 | NY | Primary |
Addresses
Primary practice location
303 5TH Ave
Suite 804
New York, NY 10016-6683
Mailing address
88 Lexington Ave Apt 1105
New York, NY 10016-0430
Phone (312) 718-3019
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 |
|---|---|---|---|
| LP001134 | NY | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1306644224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 LEXINGTON AVE APT 1105",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160430",
"telephone_number": "312-718-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 5TH AVE",
"address_2": "SUITE 804",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166683",
"telephone_number": "312-718-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDAWSKY",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "LP001134",
"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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.