Individual provider Active NPI

Laura Hahn, PSY.D.

  • Clinical Psychologist
  • Jamaica, NY
National Provider Identifier
1477599660
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011788-1 Issued in NY
Practice address
14445 87TH Ave
Jamaica, NY 11435-3109
Phone
(718) 480-4000
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 011788-1 NY Primary

Addresses

Primary practice location

14445 87TH Ave
Jamaica, NY 11435-3109

Mailing address

303 Merrick Rd
Suite 204
Lynbrook, NY 11563-2501
Phone (800) 725-6280

Other identifiers 1

IdentifierTypeStateIssuer
02054364MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000717 NY Practitioner - Clinical Psychologist 0042379158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Psychassociates LLPGroup PAC ID 3072404888, 33 clinicians

Practice addresses (Care Compare)

156 W 56TH St
Suite 1804
New York, NY 10019-3878
Phone (212) 851-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011788-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Hospitalist Healthcare Services PLLC Clinical CurrentSince May 14, 2014 Accepting new patients
Clinical Psychassociates LLP Clinical CurrentSince Jan 8, 2020 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince May 14, 2014 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

303 Merrick Rd
Ste 204
Lynbrook, NY 11563

40 Keogh Ln
New Rochelle, NY 10805
Phone (914) 636-6200

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

1339 York Ave
New York, NY 10021
Phone (212) 249-4970

156 W 56th St
Ste 1804
New York, NY 10019
Phone (212) 851-8100

11030 221st St
Queens Vlg, NY 11429
Phone (631) 332-0686

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1477599660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MERRICK RD",
            "address_2": "SUITE 204",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632501",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 87TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353109",
            "telephone_number": "718-480-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "LAURA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011788-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02054364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.