Individual provider Active NPI

Lakshmi Reddy

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1689810541
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
251517 Issued in NY
Practice address
76 Madison Ave Apt 8a
New York, NY 10016-8725
Phone
(585) 314-8735
NPI assigned
Dec 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 251517 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

76 Madison Ave Apt 8a
New York, NY 10016-8725

Mailing address

1330 1St Ave Apt 627
New York, NY 10021-4782
Phone (585) 314-8735

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120614000173 NY Practitioner - Psychiatry 2163686593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

156 William St
New York, NY 10038-2609
Phone (646) 962-6647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
251517NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Feb 20, 2022 Accepting new patients
The New York and Presbyterian Hospital CurrentSince Jul 1, 2012 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Feb 20, 2022 Accepting new patients
The New York and Presbyterian Hospital Multi-Specialty Current Accepting new patients
The New York and Presbyterian Hosp Multi-Specialty CurrentSince Jul 1, 2012 Accepting new patients

Locations

156 William St
New York, NY 10038
Phone (646) 962-4679

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Interoperability endpoints

  • Direct secure messaging: lpr9004@direct.nyp.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1230163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1689810541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 1ST AVE APT 627",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214782",
            "telephone_number": "585-314-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MADISON AVE APT 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168725",
            "telephone_number": "585-314-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "LAKSHMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-25",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "251517",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.