LC Nurse Practitioner Psychiatry Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

F400577 Issued in NY

Legal business name

LC NURSE PRACTITIONER PSYCHIATRY SERVICES PC

Practice address

350 Fulton St
Brooklyn, NY 11201-5123

Phone

(831) 401-2002

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Lesly J Curtis, NP

Title

Owner

Phone

(831) 401-2002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1619462322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015123",
            "telephone_number": "831-401-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC NURSE PRACTITIONER PSYCHIATRY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "LESLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-401-2002",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "F400577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.