Active NPI
Sidney Mackenzie Fulop
- Psychoanalyst
- New York, NY
National Provider Identifier
1679976831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000768
- Practice address
- 23 E 10TH St
#707
New York, NY 10003-6113 - Phone
- (212) 473-3371
- NPI assigned
- Oct 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 000768 | NY | Primary |
Addresses
Primary practice location
23 E 10TH St
#707
New York, NY 10003-6113
Mailing address
23 E 10TH St
#707
New York, NY 10003-6113
Phone (212) 473-3371
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 |
|---|---|---|---|
| 000768 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1679976831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 E 10TH ST",
"address_2": "#707",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036113",
"telephone_number": "212-473-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 E 10TH ST",
"address_2": "#707",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036113",
"telephone_number": "212-473-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULOP",
"first_name": "SIDNEY",
"middle_name": "MACKENZIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Fullhearted Mental Health Counseling, PLLC
- Kyle Thomas Fullmer, LMHC
- Yevgeny Fulman, M.D.
- Holly Mae Fulmer, MSN, RN, AGPCNP-BC
- Jacqueline I Fulop, DMD
- Tamara A Fulop, MD
- Fulton Physical Medicine & Rehabilitation PC
- Fulton Street Physical Therapy PLLC
- Carole Fulton, PA-C
- Katelyn Marie Fulton, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.