Individual provider Active NPI

Cynthia A Poorbaugh, M.F.A., L.P.

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1477706190
Registry record updated Oct 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000833 Issued in NY
Practice address
26 W 9TH St Apt 3B
New York, NY 10011-8923
Phone
(212) 777-1669
NPI assigned
Oct 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000833 NY Primary

Addresses

Primary practice location

26 W 9TH St Apt 3B
New York, NY 10011-8923

Mailing address

7 Rock St Apt a
Cold Spring, NY 10516-2900
Phone (646) 369-5465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Fine Arts

State licenses

LicenseStateTypeSpecialty
000833NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224892800000",
    "number": "1477706190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROCK ST APT A",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105162900",
            "telephone_number": "646-369-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W 9TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118923",
            "telephone_number": "212-777-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORBAUGH",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.F.A., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000833",
            "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 Oct 25, 2008; 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.