Victor Labruna, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013918 Issued in NY

Practice address

444 Community Dr
Manhasset, NY 11030-3803

Phone

(516) 672-3859

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 Oct 1, 2017 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1659405942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 2ND AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313512",
            "telephone_number": "516-672-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303803",
            "telephone_number": "516-672-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRUNA",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "13918",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Natalie La Torre, D.O.
• Elise La, PA-C
• Victor La, MD
• Kevin Labagnara
• Gina Elizabeth Labarbera, LMSW
• Juliana Lachenmeyer, MD
• Devanand Lackraj, NP
• Patricia Ladis, P.T.
• Bria Nishel Ladson
• Jennifer Laffey, NP

• Clinical Psychologist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.