Active NPI
Lamm Institute at Lich
- Developmental - Behavioral Pediatrics Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- Legal business name
- LAMM INSTITUTE AT LICH
- Practice address
- 110 Amity St
Brooklyn, NY 11201-6107 - Phone
- (718) 780-1014
- NPI assigned
- May 27, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Gottlieb, MD
- Title
- Managing Employee
- Phone
- (718) 780-1014
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | Primary |
Addresses
Primary practice location
110 Amity St
Brooklyn, NY 11201-6107
Mailing address
160 Water St
20FL
New York, NY 10038-4922
Phone (212) 256-3682
National Provider Directory
National Provider Directory- Tax ID family
- Lamm Institute at Lich
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba LICH Psychiatry Associates
- Psychiatry Physician
- Brooklyn, NY
- NPI 1306071865
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Developmental - Behavioral Pediatrics Physician
- Brooklyn, NY
- NPI 1619961190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528015492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER ST",
"address_2": "20FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384922",
"telephone_number": "212-256-3682",
"fax_number": "212-256-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 AMITY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016107",
"telephone_number": "718-780-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAMM INSTITUTE AT LICH",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOTTLIEB",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "MANAGING EMPLOYEE",
"authorized_official_telephone_number": "718-780-1014",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.