Active NPI
Lenore F Proctor, PSYD
- Psychologist
- New York, NY
National Provider Identifier
1962654343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 011127-1
- Practice address
- 315 W 57TH St
Suite 410
New York, NY 10019-3158 - Phone
- (212) 969-0215
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011127-1 | NY | Primary |
Addresses
Primary practice location
315 W 57TH St
Suite 410
New York, NY 10019-3158
Mailing address
7 Edward CT
Tenafly, NJ 07670-2101
Phone (212) 969-0215
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 |
|---|---|---|---|
| 011127-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1962654343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 EDWARD CT",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702101",
"telephone_number": "212-969-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W 57TH ST",
"address_2": "SUITE 410",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193158",
"telephone_number": "212-969-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "LENORE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "011127-1",
"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 Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.