Organization Active NPI

Loren M Dobbs Psychological Services P C

  • Psychologist
  • New York, NY
National Provider Identifier
1710193719
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013674 Issued in NY
Legal business name
LOREN M DOBBS PSYCHOLOGICAL SERVICES P C
Practice address
25 Central Park W
Suite 1-I
New York, NY 10023-7253
Phone
(212) 582-4600
Fax
(212) 208-4540
NPI assigned
May 15, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Loren Marc Dobbs, PH.D.NPI 1205999125
Title
President
Phone
(212) 582-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 013674 NY Primary

Addresses

Primary practice location

25 Central Park W
Suite 1-I
New York, NY 10023-7253

Mailing address

25 Central Park W
Suite 1-I
New York, NY 10023-7253
Phone (212) 582-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071012000330 NY Part B Supplier - Clinic/Group Practice 9537255161 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

25 Central Park W
Apt 1I
New York, NY 10023
Phone (212) 582-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1710193719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W",
            "address_2": "SUITE 1-I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237253",
            "telephone_number": "212-582-4600",
            "fax_number": "212-208-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W",
            "address_2": "SUITE 1-I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237253",
            "telephone_number": "212-582-4600",
            "fax_number": "212-208-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN M DOBBS PSYCHOLOGICAL SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-582-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.