Provider Demographics
NPI:1740353259
Name:BARST, FRAN D (LCSW, PSYA)
Entity type:Individual
Prefix:
First Name:FRAN
Middle Name:D
Last Name:BARST
Suffix:
Gender:F
Credentials:LCSW, PSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 9TH ST
Mailing Address - Street 2:11B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5414
Mailing Address - Country:US
Mailing Address - Phone:212-677-8934
Mailing Address - Fax:
Practice Address - Street 1:115 E 9TH ST
Practice Address - Street 2:11B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5414
Practice Address - Country:US
Practice Address - Phone:212-677-8934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000737102L00000X
NYR0440371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000737OtherLICENSED PSYCHOANALYST
NYR044037OtherLICENSE
NYN8A201Medicare ID - Type Unspecified
NYP512328Medicare UPIN