Individual provider Active NPI

Stephanie Lechich, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1770208209
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
264 W 77TH St Apt 8
New York, NY 10024-6882
Phone
(646) 823-3924
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

264 W 77TH St Apt 8
New York, NY 10024-6882

Mailing address

264 W 77TH St Apt 8
New York, NY 10024-6882
Phone (646) 823-3924

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
I20231103003125 NY Practitioner - Clinical Psychologist 7810344488 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 16, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 16, 2023 Accepting new patients

Locations

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

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, 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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1770208209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 W 77TH ST APT 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246882",
            "telephone_number": "646-823-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 W 77TH ST APT 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246882",
            "telephone_number": "646-823-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHICH",
        "first_name": "STEPHANIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.