DR. GAIL SISSELMAN LENCZ


Address: 654 Madison Ave, Suite 1905, New York, NY 10021-8404
Phone: 9179574245

DR. GAIL SISSELMAN LENCZ (NPI# 1235291030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235291030
Entity Type Individual
Full Name DR. GAIL SISSELMAN LENCZ
Credential PSY.D.
Practice Address 654 Madison Ave
Suite 1905
New York
NY 10021-8404
Practice Telephone 9179574245
Practice Fax Number 6463492780
Mailing Telephone 9179574245
Mailing Fax Number 6463492780
Enumeration Date 2006-12-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist 013707 NY Behavioral Health & Social Service Providers
X 103TA0700X Psychologist
Specialization: Adult Development & Aging
013707 NY Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
013707 NY Behavioral Health & Social Service Providers
X 103TF0200X Psychologist
Specialization: Forensic
013707 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY OXFORD HEALTH PROVIDER ID P2753984 01

Office Location

Street Address 654 MADISON AVE
SUITE 1905
City NEW YORK
State NY
Zip Code 10021-8404

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City NEW YORK
Zip Code 10021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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