Individual provider Active NPI

Lauren Michele Kunik, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1578936456
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P96197 Issued in NY
Practice address
900 Broadway
Suite 809
New York, NY 10003-1210
Phone
(347) 766-0486
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P96197 NY Primary

Addresses

Primary practice location

900 Broadway
Suite 809
New York, NY 10003-1210

Mailing address

60 Saint Marks PL
Apt 7
New York, NY 10003-8148
Phone (646) 321-5643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403001344 NY Practitioner - Clinical Psychologist 4284919366 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

270 Lafayette St
Suite 1209
New York, NY 10012-3327
Phone (347) 766-0486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P96197NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NP in Psychiatry PLLC PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1578936456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SAINT MARKS PL",
            "address_2": "APT 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038148",
            "telephone_number": "646-321-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BROADWAY",
            "address_2": "SUITE 809",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031210",
            "telephone_number": "347-766-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIK",
        "first_name": "LAUREN",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P96197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.