NPIMap

Organization Active NPI

LMK Psychological Services, PC

  • Clinical Psychologist
  • Blauvelt, NY
National Provider Identifier
1992089056
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003552 Issued in NY
Legal business name
LMK PSYCHOLOGICAL SERVICES, PC
Practice address
139 Swannekin Rd
Blauvelt, NY 10913-1637
Phone
(914) 419-0088
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Jonathan Bernard Kogen, PHDNPI 1952746166
Title
Owner-Director
Phone
(914) 419-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003552 NY Primary

Addresses

Primary practice location

139 Swannekin Rd
Blauvelt, NY 10913-1637

Mailing address

139 Swannekin Rd
Blauvelt, NY 10913-1637
Phone (914) 419-0088

Other identifiers 1

IdentifierTypeStateIssuer
003552OtherNYLICENSE PSYCHOLOGIST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1992089056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SWANNEKIN RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131637",
            "telephone_number": "914-419-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SWANNEKIN RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131637",
            "telephone_number": "914-419-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMK PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "KOGEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "914-419-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "003552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PSYCHOLOGIST",
            "identifier": "003552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blauvelt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.