Individual provider Active NPI

Hilary Joyce Luttinger, PSYD

  • Clinical Psychologist
  • Lagrangeville, NY
National Provider Identifier
1710261235
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019093 Issued in NY
Practice address
1131 Route 55
Ste 1D
Lagrangeville, NY 12540-5063
Phone
(845) 913-5513
NPI assigned
Oct 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019093 NY Primary

Addresses

Primary practice location

1131 Route 55
Ste 1D
Lagrangeville, NY 12540-5063

Mailing address

44 Victor Dr
Poughkeepsie, NY 12603-6349
Phone (845) 913-5513

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000217 NY Practitioner - Clinical Psychologist 1254503089 Reassigns benefits to 2 organizations
Practice locations: Lagrangeville, NY; Poughkeepsie, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019093NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Street Psychiatry, PC Clinical CurrentSince Oct 3, 2011 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

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.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1710261235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VICTOR DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036349",
            "telephone_number": "845-913-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 ROUTE 55",
            "address_2": "STE 1D",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405063",
            "telephone_number": "845-913-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTINGER",
        "first_name": "HILARY",
        "middle_name": "JOYCE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

Verify at the official NPI Registry.