Individual provider Active NPI

Orly Marcovich, L.P.

  • Psychoanalysis Psychologist
  • New York, NY
National Provider Identifier
1710434287
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
19 000976 Issued in NY
Practice address
220 5TH Ave Ste 1107
New York, NY 10001-7708
Phone
(917) 658-2087
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X 19 000976 NY Primary

Addresses

Primary practice location

220 5TH Ave Ste 1107
New York, NY 10001-7708

Mailing address

220 5TH Ave Ste 1107
New York, NY 10001-7708
Phone (917) 658-2087

Other identifiers 1

IdentifierTypeStateIssuer
000976OtherNYPSYCHOANALYST LICENCE

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

LicenseStateTypeSpecialty
19 000976NYMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1710434287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE STE 1107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017708",
            "telephone_number": "917-658-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVE STE 1107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017708",
            "telephone_number": "917-658-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOVICH",
        "first_name": "ORLY",
        "name_prefix": "Ms.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "19 000976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOANALYST LICENCE",
            "identifier": "000976",
            "state": "NY"
        }
    ],
    "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 Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.