Active NPI
Scott Von, D.O.M. PH.D.
- Psychoanalyst
- New York, NY
National Provider Identifier
1558113175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 750
- Practice address
- 19 Bank
New York, NY 10014 - Phone
- (718) 796-9140
- NPI assigned
- Apr 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 750 | NY | Primary |
| Acupuncturist | 171100000X | 1799 | NY |
Addresses
Primary practice location
19 Bank
New York, NY 10014
Mailing address
719 Loriner St
Brooklyn, NY 11211
Phone (718) 496-9140
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 750 | NY | MD | Psychoanalyst |
| 1799 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1558113175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 LORINER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11211",
"telephone_number": "718-496-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BANK",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10014",
"telephone_number": "718-796-9140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.O.M. PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "750",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "1799",
"primary": false
}
],
"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 Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.