Individual provider Active NPI

Nyla Claire Lamm, LCSW.ED.D BCBA-D LBA

  • Behavior Analyst
  • Laurel, NY
National Provider Identifier
1548428451
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000849 Issued in NY
Practice address
4150 Aldrich LN
Laurel, NY 11948-1017
Phone
(631) 298-7195
Fax
(631) 298-7195
NPI assigned
May 28, 2008
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 034492-1 NY
Behavior Analyst 103K00000X 000849 NY Primary

Addresses

Primary practice location

4150 Aldrich LN
Laurel, NY 11948-1017

Mailing address

4150 Aldrich LN
Laurel, NY 11948-1017
Phone (631) 298-7195

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

State licenses

LicenseStateTypeSpecialty
034492-1NYMDClinical Social Worker
000849NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1548428451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 ALDRICH LN",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481017",
            "telephone_number": "631-298-7195",
            "fax_number": "631-298-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 ALDRICH LN",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481017",
            "telephone_number": "631-298-7195",
            "fax_number": "631-298-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMM",
        "first_name": "NYLA",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "LCSW.ED.D BCBA-D LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "034492-1",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.