Active NPI
Lillian Sultan, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1386992006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020345-1
- Practice address
- 15 Charles St Apt 8a
New York, NY 10014 - Phone
- (917) 592-3200
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 020345-1 | NY | Primary |
Addresses
Primary practice location
15 Charles St Apt 8a
New York, NY 10014
Mailing address
15 Charles St Apt 8a
New York, NY 10014-3024
Other practice location 1
423 E 23rd St
Mental Health/ 11M
New York, NY 10010-5011
Phone (212) 686-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 4, 2024 through Nov 4, 2026
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": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1386992006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CHARLES ST APT 8A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CHARLES ST APT 8A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10014",
"telephone_number": "917-592-3200"
}
],
"practiceLocations": [
{
"address_1": "423 E 23rd St",
"address_2": "Mental Health/ 11M",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100105011",
"country_code": "US",
"telephone_number": "212-686-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULTAN",
"first_name": "LILLIAN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020345-1",
"primary": true
}
],
"identifiers": [],
"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 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.