Active NPI
Diana A Falick, MA
- Psychoanalysis Psychologist
- Ny, NY
National Provider Identifier
1962563635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- Practice address
- 140 W 69 St 29a
Ny, NY 10023-5166 - Phone
- (212) 496-8708
- Fax
- (201) 569-8485
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | Primary |
Addresses
Primary practice location
140 W 69 St 29a
Ny, NY 10023-5166
Mailing address
140 W 69 St 29a
Ny, NY 10023-5166
Phone (212) 496-8708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220811002502 | NY | Practitioner - Psychologist Billing Independently | 5395128136 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962563635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W 69 ST 29A",
"city": "NY",
"state": "NY",
"postal_code": "100235166",
"telephone_number": "212-496-8708",
"fax_number": "201-569-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 69 ST 29A",
"city": "NY",
"state": "NY",
"postal_code": "100235166",
"telephone_number": "212-496-8708",
"fax_number": "201-569-8485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALICK",
"first_name": "DIANA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.