Jodi N. Licht, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016200 Issued in NY

Practice address

25517 Northern Blvd
Suite 2B
Little Neck, NY 11362-1453

Phone

(917) 364-8585

NPI assigned

Dec 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1669538757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24008 65TH AVE",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621921",
            "telephone_number": "917-364-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25517 NORTHERN BLVD",
            "address_2": "SUITE 2B",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621453",
            "telephone_number": "917-364-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHT",
        "first_name": "JODI",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia C Leung, D.D.S., M.S.D.
• Grace Leung, TEACHER
• Stacy K. Leung, RDN, CDN
• Karen Helene Lewkowitz, D.D.S.
• Hoi Fong Li, O.D.
• Life's Worc
• Ginny Lin, O.D.
• Michael C Lin, D.D.S.
• Zhong Hao Lin, PHARM D
• Robert Linden, DO

• Psychologist in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.