MS. RACHEL STEPHANIE LACKS


Address: 57 W 57th St, Suite 1007, New York, NY 10019-2802
Phone: 2126580110

MS. RACHEL STEPHANIE LACKS (NPI# 1427583012) 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) 1427583012
Entity Type Individual
Full Name MS. RACHEL STEPHANIE LACKS
Credential ED.M.
Practice Address 57 W 57th St
Suite 1007
New York
NY 10019-2802
Practice Telephone 2126580110
Practice Fax Number 6462194619
Mailing Telephone 2126580110
Mailing Fax Number 6462194619
Enumeration Date 2017-04-20
Last Update Date 2017-04-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Office Location

Street Address 57 W 57TH ST
SUITE 1007
City NEW YORK
State NY
Zip Code 10019-2802

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1770970196 Cara Remmes Psychologist 3959 Broadway Chony 6 North, Ms Children's Hospital of Nyp, New York, NY 10032 2015-04-23
1174913370 Rebecca Hutt Psychologist 255 W 101st St, 1st Floor, New York, NY 10025-4974 2015-01-27
1447648753 Victoria I Phillips Psychologist 10 W 65th St Apt 5d, New York, NY 10023-6639 2015-01-08
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Competitor

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City NEW YORK
Zip Code 10019

Improve Information

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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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