Active NPI
Lauren Lipner, PH.D.
- Clinical Psychologist
- Forest Hills, NY
National Provider Identifier
1316687007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024481-01
- Practice address
- 6911 Yellowstone Blvd Apt B2
Forest Hills, NY 11375-3715 - Phone
- (646) 957-6671
- NPI assigned
- Mar 30, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 024481-01 | NY | Primary |
Addresses
Primary practice location
6911 Yellowstone Blvd Apt B2
Forest Hills, NY 11375-3715
Mailing address
6911 Yellowstone Blvd Apt B2
Forest Hills, NY 11375-3715
Phone (646) 957-6671
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024481-01 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1316687007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 YELLOWSTONE BLVD APT B2",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753715",
"telephone_number": "646-957-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 YELLOWSTONE BLVD APT B2",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753715",
"telephone_number": "646-957-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPNER",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024481-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.