Active NPI
Lawrence Edward Dresdale, PH.D.
- Psychologist
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 007948
- Practice address
- 159 Green St.
Suite 1
Kingston, NY 12401 - Phone
- (845) 339-2352
- Fax
- (845) 339-2382
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 007948 | NY | Primary |
Addresses
Primary practice location
159 Green St.
Suite 1
Kingston, NY 12401
Mailing address
721 Broadway # 201
Kingston, NY 12401-3449
Phone (845) 331-2007
Other practice location 1
159 Green St.
Suite 1
Kingston, NY 12401-3737
Phone (845) 339-2352 ext. 1
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00977344 | Medicaid | NY | |
| 986103 | Other | NY | MVP HEALTHCARE |
| 135390 | Other | NY | VALUEOPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
721 Broadway
Suite 201
Kingston, NY 12401-3449
Phone (845) 331-2007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catskill Mountain Psychology PLLC | Current | Accepting new patients | |
| Michael Schwalberg, PH.D., Psychologist, PLLC | Past | Accepting new patients |
Locations
159 Green St
Kingston, NY 12401
Phone (845) 331-2007
159 Green St
Ste 1
Kingston, NY 12401
Phone (845) 338-3250
721 Broadway
#201
Kingston, NY 12401
Phone (845) 331-2007
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Kingston, NY
- NPI 1073992178
-
- Clinical Psychologist
- New York, NY
- NPI 1225415383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1689791352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 BROADWAY # 201",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013449",
"telephone_number": "845-331-2007",
"fax_number": "845-339-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 GREEN ST.",
"address_2": "SUITE 1",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12401",
"telephone_number": "845-339-2352",
"fax_number": "845-339-2382"
}
],
"practiceLocations": [
{
"address_1": "159 Green St.",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "NY",
"postal_code": "124013737",
"country_code": "US",
"telephone_number": "845-339-2352 x1",
"fax_number": "845-339-2382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRESDALE",
"first_name": "LAWRENCE",
"middle_name": "EDWARD",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "007948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00977344",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "986103",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "135390",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
- Dr Cutugno Oncology and Hematology Specialist PLLC
- Dr Lily Zhang, DMD
- Alexander Drakontaidis
- Marissa Ann Drees, DPT
- Christine Dremmel, LCSW-R
- Katherine Driscoll, MS, CCC-SLP
- DRS. Chasin & Guarente, Optometrists, P.C.
- DRS. Engel and Lindgren Family Medicine, P.C.
- DRS. Weeks Engel and Lindgren Family Medicine, PLLC
- Rachel Drummond, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.