Individual provider Active NPI

Lucinda Clark Hotchkiss, PH.D.

  • Clinical Psychologist
  • Douglaston, NY
National Provider Identifier
1750453767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012384-1 Issued in NY
Practice address
24302 Northern Blvd
Jewish Board of Fam. & Childr's Serv. (Pride of Judea)
Douglaston, NY 11362-1150
Phone
(718) 423-6200
Fax
(718) 423-9762
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 012384-1 NY Primary

Addresses

Primary practice location

24302 Northern Blvd
Jewish Board of Fam. & Childr's Serv. (Pride of Judea)
Douglaston, NY 11362-1150

Mailing address

60 W 66TH St
Apt. 11a
New York, NY 10023-6214
Phone (212) 877-0778

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
I20101208000361 NY Practitioner - Clinical Psychologist 5193912749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lower Manhattan Psychology PLLCGroup PAC ID 9638514391, 4 clinicians

Practice addresses (Care Compare)

111 John St
Suite 2400
New York, NY 10038-3013
Phone (646) 565-1828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012384-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Manhattan Psychology PLLC Clinical CurrentSince Mar 1, 2024 Accepting new patients

Locations

111 John St
Ste 2400
New York, NY 10038
Phone (646) 327-3072

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750453767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W 66TH ST",
            "address_2": "APT. 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236214",
            "telephone_number": "212-877-0778",
            "fax_number": "212-877-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 NORTHERN BLVD",
            "address_2": "JEWISH BOARD OF FAM. & CHILDR'S SERV. (PRIDE OF JUDEA)",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621150",
            "telephone_number": "718-423-6200",
            "fax_number": "718-423-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTCHKISS",
        "first_name": "LUCINDA",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012384-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglaston, NY

Sources for this page

Verify at the official NPI Registry.