Organization Active NPI

Spring Life Medical Services, P.C.

  • Psychiatry Physician
  • Forest Hills, NY
National Provider Identifier
1376835082
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
218153 Issued in NY
Legal business name
SPRING LIFE MEDICAL SERVICES, P.C.
Practice address
9617 69TH Ave
Forest Hills, NY 11375-5139
Phone
(347) 589-3714
Fax
(347) 233-2584
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hla Tun, M.D.
Title
President
Phone
(347) 589-3714

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 218153 NY Primary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X 218153 NY

Addresses

Primary practice location

9617 69TH Ave
Forest Hills, NY 11375-5139

Mailing address

PO Box 640326
Oakland Gardens, NY 11364-0326

National Provider Directory

National Provider Directory

Locations

9617 69th Ave
Forest Hills, NY 11375
Phone (347) 589-3714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1376835082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640326",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113640326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 69TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755139",
            "telephone_number": "347-589-3714",
            "fax_number": "347-233-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LIFE MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "TUN",
        "authorized_official_first_name": "HLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-589-3714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218153",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "218153",
            "primary": false
        }
    ],
    "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 May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.