Active NPI
Lillian Bascone McGovern, PSY.D
- Psychologist
- Brooklyn, NY
National Provider Identifier
1659627057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 011112-1
- Practice address
- 555 Remsen Ave
Brooklyn, NY 11236-1017 - Phone
- (718) 495-3510
- Fax
- (718) 495-5459
- NPI assigned
- Aug 3, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011112-1 | NY | Primary |
Addresses
Primary practice location
555 Remsen Ave
Brooklyn, NY 11236-1017
Mailing address
555 Remsen Ave
Brooklyn, NY 11236-1017
Phone (718) 495-3510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011112-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1659627057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 REMSEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112361017",
"telephone_number": "718-495-3510",
"fax_number": "718-495-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 REMSEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112361017",
"telephone_number": "718-495-3510",
"fax_number": "718-495-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "LILLIAN",
"middle_name": "BASCONE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "011112-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.