Individual provider Active NPI

Louis Francis Lomangino, PHD

  • Psychologist
  • Plainview, NY
National Provider Identifier
1851487722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3712 Issued in NY
Practice address
54 Sunnyside Blvd
Plainview, NY 11803-1517
Phone
(631) 757-9039
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

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
Psychologist 103T00000X 3712 NY Primary

Addresses

Primary practice location

54 Sunnyside Blvd
Plainview, NY 11803-1517

Mailing address

96 Lakebridge Drive North
Kings Park, NY 11754-3949
Phone (631) 757-9039

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
I20040817001204 NY Practitioner - Clinical Psychologist 1153394119 Practice locations: Plainview, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Fordham University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 Sunnyside Blvd
Suite F
Plainview, NY 11803-1517
Phone (631) 757-9039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3712NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Hill Counseling Psychotherapy Social Work LCSW PC. Past Accepting new patients
Samuel Landsman PastSince Nov 10, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851487722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LAKEBRIDGE DRIVE NORTH",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543949",
            "telephone_number": "631-757-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "631-757-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMANGINO",
        "first_name": "LOUIS",
        "middle_name": "FRANCIS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.