Provider Demographics
NPI:1689709644
Name:ASHENMIL, LISA KAPLAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:KAPLAN
Last Name:ASHENMIL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 W 18TH ST
Mailing Address - Street 2:#3W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5465
Mailing Address - Country:US
Mailing Address - Phone:917-446-2925
Mailing Address - Fax:
Practice Address - Street 1:156 5TH AVE
Practice Address - Street 2:#734
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7002
Practice Address - Country:US
Practice Address - Phone:917-446-2925
Practice Address - Fax:530-483-2304
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014788103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3417940OtherOXFORD ID NUMBER
NY537011OtherVALUE OPTIONS ID NUMBER
NYP3417940OtherOXFORD ID NUMBER