Individual provider Active NPI

Lawrence Josephs, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1720153687
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7308 Issued in NY
Practice address
210 E 68TH St Ste 1H
New York, NY 10065-6024
Phone
(212) 861-7027
Fax
(212) 746-4554
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7308 NY Primary

Addresses

Primary practice location

210 E 68TH St Ste 1H
New York, NY 10065-6024

Mailing address

210 E 68TH St Ste 1H
New York, NY 10065-6024
Phone (212) 861-7027

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
I20051122000482 NY Practitioner - Clinical Psychologist 6204855083 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

85 E End Ave
Apt 1B
New York, NY 10028-8026
Phone (212) 861-7027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007308NYMDMental Health Counselor
7308NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1720153687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 68TH ST STE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656024",
            "telephone_number": "212-861-7027",
            "fax_number": "212-746-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 68TH ST STE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656024",
            "telephone_number": "212-861-7027",
            "fax_number": "212-746-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHS",
        "first_name": "LAWRENCE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "7308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.