Individual provider Active NPI

Pietro Lofu, PSY.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1912146762
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017838-1 Issued in NY
Practice address
2155 W 5TH St
Brooklyn, NY 11223-3850
Phone
(347) 403-2209
Fax
(718) 232-5613
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017838-1 NY Primary

Addresses

Primary practice location

2155 W 5TH St
Brooklyn, NY 11223-3850

Mailing address

2155 W 5TH St
Brooklyn, NY 11223-3850
Phone (347) 403-2209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20091014000527 NY Practitioner - Clinical Psychologist 4284770777 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1912146762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233850",
            "telephone_number": "347-403-2209",
            "fax_number": "718-232-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233850",
            "telephone_number": "347-403-2209",
            "fax_number": "718-232-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFU",
        "first_name": "PIETRO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017838-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.