Organization Active NPI

Lawrence Birnbach, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1639532856
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6554 Issued in NY
Legal business name
LAWRENCE BIRNBACH, PHD
Practice address
80 E 11TH St
Suite 312
New York, NY 10003-6811
Phone
(917) 747-0531
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Lawrence Birnbach, PHD
Title
Sole Operator
Phone
(917) 747-0531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6554 NY Primary

Addresses

Primary practice location

80 E 11TH St
Suite 312
New York, NY 10003-6811

Mailing address

23 E 10TH St
Apt 212
New York, NY 10003-6113
Phone (917) 747-0531

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1639532856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E 10TH ST",
            "address_2": "APT 212",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036113",
            "telephone_number": "917-747-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E 11TH ST",
            "address_2": "SUITE 312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036811",
            "telephone_number": "917-747-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE BIRNBACH, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "BIRNBACH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "SOLE OPERATOR",
        "authorized_official_telephone_number": "917-747-0531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6554",
            "primary": true
        }
    ],
    "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 4, 2016; 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.