Lesley Whitman Stoller

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

001202-01 Issued in NY

Practice address

25 Valley View Rd
Great Neck, NY 11021-3917

Phone

(516) 376-0872

NPI assigned

Jul 24, 2024

Last updated

Jul 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1902634512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VALLEY VIEW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213917",
            "telephone_number": "516-376-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 VALLEY VIEW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213917",
            "telephone_number": "516-376-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "LESLEY",
        "middle_name": "WHITMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "001202-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Stewart, PA-C
• Susan Stillman, M.D.
• Tyler Gregory Stimpson
• Andreas Patrick Stocker, PSY.D.
• Mark G Stokes, MD
• Joanna Stolove, LCSW
• Alex Michael Stone, M.D.
• Erin Elizabeth Strickland, AGPCNP-BC
• Kenneth Strobel, P.A.
• Robert Evan Struhl, M.D.

• Psychoanalyst in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychoanalyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.