Active NPI
Ilana Storace, LP
- Psychoanalyst
- Brooklyn, NY
National Provider Identifier
1376269209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 001112
- Practice address
- 371 2ND St
Brooklyn, NY 11215-2403 - Phone
- (917) 922-5474
- NPI assigned
- Oct 12, 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 001112 | NY | Primary |
Addresses
Primary practice location
371 2ND St
Brooklyn, NY 11215-2403
Mailing address
371 2ND St
Brooklyn, NY 11215-2403
Phone (917) 922-4574
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 |
|---|---|---|---|
| 001112 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1376269209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 2ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152403",
"telephone_number": "917-922-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 2ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152403",
"telephone_number": "917-922-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORACE",
"first_name": "ILANA",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "NY",
"license": "001112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.