Individual provider Active NPI

Lindsey Giller Chase, PSYD

  • Clinical Psychologist
  • Franklin Square, NY
National Provider Identifier
1649648445
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022212 Issued in NY
Practice address
340 Dogwood Ave Ste 101
Franklin Square, NY 11010-3400
Phone
(516) 218-0180
NPI assigned
Sep 10, 2015
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X 022212 NY Primary

Addresses

Primary practice location

340 Dogwood Ave Ste 101
Franklin Square, NY 11010-3400

Mailing address

340 Dogwood Ave Ste 101
Franklin Square, NY 11010-3400
Phone (516) 218-0180

Other practice location 1

101 E 56th St
New York, NY 10022-2661
Phone (646) 625-4257

Other identifiers 2

IdentifierTypeStateIssuer
00355940MedicaidNY
1285628552OtherNYAGENCIES NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 25, 2017 through Jul 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
022212NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1649648445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DOGWOOD AVE STE 101",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103400",
            "telephone_number": "516-218-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DOGWOOD AVE STE 101",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103400",
            "telephone_number": "516-218-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E 56th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100222661",
            "country_code": "US",
            "telephone_number": "646-625-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "LINDSEY",
        "middle_name": "GILLER",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355940",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCIES NPI",
            "identifier": "1285628552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.