Active NPI
Dorothy Otnow Lewis I, M.D.
- Professional Counselor
- New Haven, CT
National Provider Identifier
1982936415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12319
- Practice address
- 100 York St
New Haven, CT 06511-5620 - Phone
- (203) 624-3933
- Fax
- (203) 752-1807
- NPI assigned
- Feb 9, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12319 | CT | Primary |
Addresses
Primary practice location
100 York St
New Haven, CT 06511-5620
Mailing address
10 Saint Ronan Ter
New Haven, CT 06511-2315
Phone (203) 776-4265
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12319 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1982936415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SAINT RONAN TER",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112315",
"telephone_number": "203-776-4265",
"fax_number": "203-752-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115620",
"telephone_number": "203-624-3933",
"fax_number": "203-752-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DOROTHY",
"middle_name": "OTNOW",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "12319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.