Individual provider Active NPI

Lisa Caren Litt, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1417018235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013487 Issued in NY
Practice address
411 W 114TH St # 3B
St. Luke'S-Roosevelt Hospital Center, WHP
New York, NY 10025-1710
Phone
(212) 523-2990
Fax
(212) 523-2140
NPI assigned
Dec 13, 2006
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
Psychologist 103T00000X 013487 NY Primary

Addresses

Primary practice location

411 W 114TH St # 3B
St. Luke'S-Roosevelt Hospital Center, WHP
New York, NY 10025-1710

Mailing address

241 W 108TH St Apt 2a
New York, NY 10025-2913
Phone (212) 252-2928

Other identifiers 1

IdentifierTypeStateIssuer
01891592MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417018235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 108TH ST APT 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252913",
            "telephone_number": "212-252-2928",
            "fax_number": "212-253-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 114TH ST # 3B",
            "address_2": "ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, WHP",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251710",
            "telephone_number": "212-523-2990",
            "fax_number": "212-523-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITT",
        "first_name": "LISA",
        "middle_name": "CAREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01891592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.