Active NPI
Laura Mufson, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1841355666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 010057
- Practice address
- 633 West 168TH Street
Chony, 6TH Floor North
New York, NY 10032 - Phone
- (212) 543-5561
- Fax
- (212) 543-6660
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 010057 | NY | Primary |
Addresses
Primary practice location
633 West 168TH Street
Chony, 6TH Floor North
New York, NY 10032
Mailing address
1051 Riverside Dr Unit 78
New York, NY 10032-1007
Phone (646) 774-5791
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010057 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1841355666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 RIVERSIDE DR UNIT 78",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321007",
"telephone_number": "646-774-5791",
"fax_number": "466-774-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 WEST 168TH STREET",
"address_2": "CHONY, 6TH FLOOR NORTH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-543-5561",
"fax_number": "212-543-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUFSON",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "010057",
"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 Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.