Active NPI
Stephen Roberts Guttman, LP LICENSEDPSYCHOANA
- Psychoanalyst
- New York, NY
National Provider Identifier
1912519109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000554
- Practice address
- 16 W 10TH St
New York, NY 10011-8707 - Phone
- (917) 855-8029
- NPI assigned
- Aug 19, 2020
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 000554 | NY | Primary |
Addresses
Primary practice location
16 W 10TH St
New York, NY 10011-8707
Mailing address
43 Old Minisink Ford Rd
Barryville, NY 12719-5111
Phone (917) 855-8029
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000554 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1912519109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 OLD MINISINK FORD RD",
"city": "BARRYVILLE",
"state": "NY",
"postal_code": "127195111",
"telephone_number": "917-855-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 W 10TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118707",
"telephone_number": "917-855-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTMAN",
"first_name": "STEPHEN",
"middle_name": "ROBERTS",
"credential": "LP LICENSEDPSYCHOANA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.