Active NPI
Wendy Gail Lichtenthal, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1508020041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017968-1
- Practice address
- 300 E 66TH St
New York, NY 10065-6800 - Phone
- (646) 608-8204
- NPI assigned
- Jul 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00561100 | NJ | |
| Clinical Psychologist | 103TC0700X | 017968-1 | NY | Primary |
Addresses
Primary practice location
300 E 66TH St
New York, NY 10065-6800
Mailing address
321 East 61St Street
New York, NY 10065
Phone (215) 620-3220
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00561100 | NJ | MD | Clinical Psychologist |
| 017968-1 | NY | MD | Occupational Therapist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1508020041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 EAST 61ST STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "215-620-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 66TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656800",
"telephone_number": "646-608-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTENTHAL",
"first_name": "WENDY",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00561100",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017968-1",
"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 Feb 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.