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DR. LATHA V SOORYA PHD
NPI 1053620120
Psychologist - Clinical in New York, NY

Active since October 06, 2010PECOS Enrolled
1428 MADISON AVE, DEPARTMENT OF PSYCHIATRY, BOX 1230, NEW YORK, NY 10029(212) 241-7250(212) 241-5670 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Latha V Soorya Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LATHA V SOORYA PHD (NPI 1053620120) is an individual clinical provider in New York, New York, licensed in New York (0161410) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053620120
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LATHA V SOORYACredential: PHD
Location Address1428 MADISON AVE, DEPARTMENT OF PSYCHIATRY, BOX 1230New York, NY 10029-6508
Mailing Address1428 Madison Ave, Department Of Psychiatry, Box 1230New York, NY 10029-6508 · (212) 241-7250 · Fax (212) 241-5670
Phone(212) 241-7250
Fax(212) 241-5670
Sole ProprietorNo
Enumeration DateOctober 6, 2010
✔ NPI 1053620120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 0161410
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-02-0857 (FL)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
1428 MADISON AVE, New York, NY 10029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Latha V Soorya Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Latha Soorya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rush University Medical Center
714 mi
Internal Medicine
1411 S MICHIGAN AVE
Chicago, IL 60605
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1689165540 (312) 563-0654

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEAH CASHER SUTTON PH.D.
Clinical Neuropsychologist
1428 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-5680
ANGEL JAVIER SANZ SALVO M.D.
Internal Medicine (Cardiovascular Disease)
1428 MADISON AVE, 8TH FLOOR
NEW YORK, NY 10029
New York County (212) 427-1540
JESSICA JASMINE WAITE RD
Dietitian, Registered
1428 MADISON AVE, ATRAN BUILDING, FIRST FLOOR
NEW YORK, NY 10029
New York County (212) 241-6947
MS. AVERY ELIZABETH MILLER MS, CGC
Genetic Counselor, MS
1428 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6947
KATHERINE THERESA LEOPOLD MD
Student in an Organized Health Care Education/Training Program
1428 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
ASHLEY JOHNSON MS, CGC
Genetic Counselor, MS
1428 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6947
CHRISTINA LAMAIRE MS, CGC
Genetic Counselor, MS
1428 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-0805
ZIAD SAADE MD
Student in an Organized Health Care Education/Training Program
1428 MADISON AVE
NEW YORK, NY 10029
New York County (212) 659-8734

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latha Soorya's NPI number?

The NPI number for Latha Soorya is 1053620120. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Where is Latha Soorya located?

Latha Soorya practices at 1428 Madison Ave Department Of Psychiatry, Box 1230, New York, NY 10029. The listed phone number is (212) 241-7250.

What is Latha Soorya's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Latha Soorya enrolled in Medicare?

Yes. Latha Soorya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latha Soorya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latha Soorya reassigns Medicare benefits to Rush University Medical Center (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latha Soorya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latha Soorya accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Latha Soorya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latha Soorya was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.