Individual provider Active NPI

Laneeka Henry

  • School Psychologist
  • Forest Hills, NY
National Provider Identifier
1598240491
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
111982 Issued in NY
Practice address
7000 Austin St
Forest Hills, NY 11375-1022
Phone
(718) 762-7633
Fax
(718) 886-8694
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 111982 NY Primary

Addresses

Primary practice location

7000 Austin St
Forest Hills, NY 11375-1022

Mailing address

363 Old Mill Rd
Valley Cottage, NY 10989-1538
Phone (845) 709-4265

Other practice location 1

1133 Westchester Ave Ste 230
White Plains, NY 10604-3516
Phone (914) 576-5292 ext. 2765

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
111982NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1598240491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 OLD MILL RD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891538",
            "telephone_number": "845-709-4265",
            "fax_number": "845-268-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751022",
            "telephone_number": "718-762-7633",
            "fax_number": "718-886-8694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Westchester Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106043516",
            "country_code": "US",
            "telephone_number": "914-576-5292 x2765",
            "fax_number": "914-576-3983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LANEEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "111982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.