Individual provider Active NPI

Andi Lyn Kornfeld, LMFT

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1497036719
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000942 Issued in NY
Practice address
110 E 23Rd St Ste 900
New York, NY 10010-4546
Phone
(646) 725-1192
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000942 NY Primary

Addresses

Primary practice location

110 E 23Rd St Ste 900
New York, NY 10010-4546

Mailing address

110 E 23Rd St Ste 900
New York, NY 10010-4546
Phone (646) 469-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000942NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Westchester Psychoanalysis Marriage and Family Therapy Current Accepting new patients
Gotham Psychoanalysis Marriage and Family Therapy PLLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

110 E 23rd St
Ste 900
New York, NY 10010
Phone (646) 469-5000

Organizations & group practices 2

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1497036719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 23RD ST STE 900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104546",
            "telephone_number": "646-469-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 23RD ST STE 900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104546",
            "telephone_number": "646-725-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNFELD",
        "first_name": "ANDI",
        "middle_name": "LYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.