Individual provider Active NPI

Lorraine Sangillo Marshall, M.D., M.S.W.

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1851418008
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
212691 Issued in NY
Practice address
New York Presbyterian Hospital, Pediatric Psychiatry
3959 Broadway, BH6N, 6TH Floor, Room 619N
New York, NY 10032
Phone
(212) 305-3093
NPI assigned
Mar 23, 2007
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
Child & Adolescent Psychiatry Physician 2084P0804X 212691 NY Primary

Addresses

Primary practice location

New York Presbyterian Hospital, Pediatric Psychiatry
3959 Broadway, BH6N, 6TH Floor, Room 619N
New York, NY 10032

Mailing address

25 Norwood PL
Norwood, NJ 07648-1619
Phone (201) 750-9013

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324001269 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 7719284363

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lmarshall44250@nyumc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851418008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NORWOOD PL",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481619",
            "telephone_number": "201-750-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK PRESBYTERIAN HOSPITAL, PEDIATRIC PSYCHIATRY",
            "address_2": "3959 BROADWAY, BH6N, 6TH FLOOR, ROOM 619N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LORRAINE",
        "middle_name": "SANGILLO",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "212691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.