Provider Demographics
NPI:1649017559
Name:LAZY BRAIN PSYCHOLOGY
Entity type:Organization
Organization Name:LAZY BRAIN PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KUI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:917-922-8589
Mailing Address - Street 1:77 COLUMBIA ST APT 17D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2622
Mailing Address - Country:US
Mailing Address - Phone:917-922-8589
Mailing Address - Fax:
Practice Address - Street 1:77 COLUMBIA ST APT 17D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-2622
Practice Address - Country:US
Practice Address - Phone:917-922-8589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty