Active NPI
Laura Jane Dalheim, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1386681641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 174674
- Practice address
- 80 University PL FL 3C
New York, NY 10003-4564 - Phone
- (646) 526-7398
- Fax
- (888) 610-5424
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 174674 | NY | Primary |
Addresses
Primary practice location
80 University PL FL 3C
New York, NY 10003-4564
Mailing address
80 University PL FL 3C
New York, NY 10003-4564
Phone (646) 526-7398
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174674 | Other | NY | LICENSE MEDICAL |
| 8206 | Other | RI | LICENSE MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1386681641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 UNIVERSITY PL FL 3C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034564",
"telephone_number": "646-526-7398",
"fax_number": "888-610-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 UNIVERSITY PL FL 3C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034564",
"telephone_number": "646-526-7398",
"fax_number": "888-610-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALHEIM",
"first_name": "LAURA",
"middle_name": "JANE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2023-02-27",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "174674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE MEDICAL",
"identifier": "174674",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE MEDICAL",
"identifier": "8206",
"state": "RI"
}
],
"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 Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.