Basic Information
| Provider Information | |||||||||
| NPI: | 1942686985 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LLOYD | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | EMERSON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH. D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1745 BROADWAY | ||||||||
| Address2: | 17 FL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100194640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128518102 | ||||||||
| FaxNumber: | 2125370102 | ||||||||
| Practice Location | |||||||||
| Address1: | 1745 BROADWAY | ||||||||
| Address2: | 17 FL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100194640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128518102 | ||||||||
| FaxNumber: | 2125370102 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2015 | ||||||||
| LastUpdateDate: | 10/27/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 021247 | NY | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC2200X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | 103TE1100X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Exercise & Sports | 103TH0004X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Health | 103TH0100X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Health Service | 103TR0400X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation | 103G00000X | 021247 | NY | N | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 103T00000X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | 103TA0400X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | 103TA0700X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | 103TB0200X | 021247 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral |
No ID Information.