Individual provider Active NPI

Laurence R. Saul, M.D.

  • Psychoanalysis Psychologist
  • New York, NY
National Provider Identifier
1821146515
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
194550 Issued in NY
Practice address
291 Broadway, Suite 1505
New York, NY 10007-1861
Phone
(212) 327-0753
Fax
(646) 253-1267
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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 194550 NY Primary

Addresses

Primary practice location

291 Broadway, Suite 1505
New York, NY 10007-1861

Mailing address

291 Broadway, Suite 1505
New York, NY 10007-1861
Phone (212) 327-0753

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
194550NYMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1821146515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 BROADWAY, SUITE 1505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071861",
            "telephone_number": "212-327-0753",
            "fax_number": "646-253-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROADWAY, SUITE 1505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071861",
            "telephone_number": "212-327-0753",
            "fax_number": "646-253-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "LAURENCE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "194550",
            "primary": true
        }
    ],
    "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 Jun 12, 2020; 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.