DR. LAWRENCE ROBERT KOTKIN (NPI# 1982789970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982789970 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE ROBERT KOTKIN |
| Credential | PHD |
| Practice Address |
61 Wilmington Dr Melville NY 11747-4032 |
| Practice Telephone | 6316430924 |
| Practice Fax Number | 6314919110 |
| Mailing Telephone | 6316430924 |
| Mailing Fax Number | 6314919110 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 6339 | NY | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6339 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6339 | NY | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
6339 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD HEALTH PLANS | AS217 | 01 |
| NY | UNITED BEHAVIORAL HEALTH | 87726 | 01 |
| NY | MAGELLAN HEALTH PLANS | 104024000 | 01 |
| NY | VYTRA BEHAVIORAL HEALTH | 35296 | 01 |
| NY | VALUE OPTIONS | 087600 | 01 |
| Street Address |
61 WILMINGTON DR |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558642884 | Jonathan Kratter | Psychologist | 25 Melville Park Rd # 224, Melville, NY 11747-3175 | 2011-08-31 |
| 1912145517 | Phyllis Anne Carlson | Psychologist | 5 Leighton Ct, Melville, NY 11747-3910 | 2009-02-04 |
| 1326241670 | Rozalina Davidovich-chlap | Psychologist | 900 Walt Whitman Rd Ste 300, Melville, NY 11747-2215 | 2007-06-06 |
| 1407072176 | George Anthony Giuliani Jr. | Psychologist | 6 Wharton Pl, Melville, NY 11747-4260 | 2007-04-18 |
| 1306901954 | Wayne J Warren | Psychologist | 14 Beaumont Dr, Melville, NY 11747-3402 | 2006-12-26 |
| 1568536407 | Lesli Figlerski | Psychologist | 34 Round Tree Dr, Melville, NY 11747-3300 | 2006-11-20 |
| 1134290273 | Joel Block | Psychologist | 460 Florencia Pl, Melville, NY 11747-5275 | 2006-11-12 |
| 1801276589 | Shannon Harvey | Psychologist | 538 Broadhollow Rd, Suite 202, Melville, NY 11747-3676 | 2015-06-08 |
| 1578908653 | Tracy Gangi | Psychologist | 20 Broadhollow Rd, Melville, NY 11747-2501 | 2013-05-03 |
| 1659436202 | Roberta F Warren | Psychologist | 14 Beaumont Dr, Melville, NY 11747-3402 | 2006-12-26 |
| Find all providers in MELVILLE | ||||
Please comment or provide details below to improve the information on DR. LAWRENCE ROBERT KOTKIN.
| 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.