Individual provider Active NPI

Barbara Ann Lewis, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1366507139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003870 Issued in NY
Practice address
788 Columbus Ave
Suite 4-O
New York, NY 10025-5951
Phone
(212) 864-0602
Fax
(212) 316-6397
NPI assigned
Dec 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003870 NY Primary

Addresses

Primary practice location

788 Columbus Ave
Suite 4-O
New York, NY 10025-5951

Mailing address

788 Columbus Ave
Suite 4-O
New York, NY 10025-5951
Phone (212) 864-0602

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
I20100609000509 NY Practitioner - Clinical Psychologist 6507996063 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

788 Columbus Ave
4O
New York, NY 10025-5910

788 Columbus Ave
4O
New York, NY 10025-5939
Phone (212) 864-0602

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366507139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 COLUMBUS AVE",
            "address_2": "SUITE 4-O",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255951",
            "telephone_number": "212-864-0602",
            "fax_number": "212-316-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 COLUMBUS AVE",
            "address_2": "SUITE 4-O",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255951",
            "telephone_number": "212-864-0602",
            "fax_number": "212-316-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "003870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.