Active NPI
Lou Lindenbaum, PHD
- Intellectual & Developmental Disabilities Psychologist
- Brewster, NY
National Provider Identifier
1891152799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 001491-1
- Practice address
- 31 International Blvd
Brewster, NY 10509-2343 - Phone
- (845) 278-7272
- Fax
- (845) 278-6781
- NPI assigned
- Jan 22, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 001491-1 | NY | Primary |
Addresses
Primary practice location
31 International Blvd
Brewster, NY 10509-2343
Mailing address
31 International Blvd
Brewster, NY 10509-2343
Phone (845) 278-7272
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001491-1 | NY | MD | Intellectual & Developmental Disabilities Psychologist |
| 007491 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1891152799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 INTERNATIONAL BLVD",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105092343",
"telephone_number": "845-278-7272",
"fax_number": "845-278-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 INTERNATIONAL BLVD",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105092343",
"telephone_number": "845-278-7272",
"fax_number": "845-278-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDENBAUM",
"first_name": "LOU",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-22",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NY",
"license": "001491-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.