Individual provider Active NPI

Joenine Elena Roberts, L.M.S.W., L.P.

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1730417882
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
L.P. # 000255-1 Issued in NY
Practice address
168 W 86TH St
Suite 1C
New York, NY 10024-4022
Phone
(212) 595-0453
NPI assigned
Dec 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X L.P. # 000255-1 NY Primary
Clinical Social Worker 1041C0700X L.M.S.W. # 044-120 NY

Addresses

Primary practice location

168 W 86TH St
Suite 1C
New York, NY 10024-4022

Mailing address

622 W 114TH St
Apt 54
New York, NY 10025-7973
Phone (917) 359-3650

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
L.P. # 000255-1NYMDPsychoanalyst
L.M.S.W. # 044-120NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1730417882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 114TH ST",
            "address_2": "APT 54",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257973",
            "telephone_number": "917-359-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W 86TH ST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244022",
            "telephone_number": "212-595-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOENINE",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "L.P. # 000255-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "L.M.S.W. # 044-120",
            "primary": false
        }
    ],
    "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 Dec 1, 2009; 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.