Active NPI
Gary Michael Prottas, L.P.
- Psychoanalysis Psychologist
- New York, NY
National Provider Identifier
1487766192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 000701
- Practice address
- 20 W 20TH St RM 239
New York, NY 10011-4213 - Phone
- (212) 645-1152
- Fax
- (212) 822-8505
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 000701 | NY | Primary |
Addresses
Primary practice location
20 W 20TH St RM 239
New York, NY 10011-4213
Mailing address
20 W 20TH St RM 239
New York, NY 10011-4213
Phone (212) 645-1152
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000701 | NY | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1487766192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W 20TH ST RM 239",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114213",
"telephone_number": "212-645-1152",
"fax_number": "212-822-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 20TH ST RM 239",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114213",
"telephone_number": "212-645-1152",
"fax_number": "212-822-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROTTAS",
"first_name": "GARY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "L.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2020-11-12",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "000701",
"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 Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.