Active NPI
Colleen Lang, PH.D.
- Clinical Psychologist
- White Plains, NY
National Provider Identifier
1639309032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018135
- Practice address
- 1 N Broadway
Suite 704
White Plains, NY 10601-2310 - Phone
- (914) 385-1150
- NPI assigned
- Jul 20, 2009
- Last updated
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018135 | NY | Primary |
Addresses
Primary practice location
1 N Broadway
Suite 704
White Plains, NY 10601-2310
Mailing address
440 E 88TH St
Apt 7B
New York, NY 10128-6607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 26, 2022 through Oct 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018135 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1639309032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 E 88TH ST",
"address_2": "APT 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101286607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N BROADWAY",
"address_2": "SUITE 704",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106012310",
"telephone_number": "914-385-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.