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DR. LYNNE KWALWASSER PHD
NPI 1154440121
Psychologist - Clinical in New York, NY

Active since March 28, 2007Opted out of Medicare · through Oct 27, 2027
284 LAFAYETTE ST, SUITE 3C, NEW YORK, NY 10012(212) 219-1791(212) 219-1791 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lynne Kwalwasser Phd NPPES

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

DR. LYNNE KWALWASSER PHD (NPI 1154440121) is an individual clinical provider in New York, New York, licensed in New York (006017-1) and active in the NPI registry since March 2007. She has opted out of Medicare through October 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154440121
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LYNNE KWALWASSERCredential: PHD
Location Address284 LAFAYETTE ST, SUITE 3CNew York, NY 10012-3355
Mailing Address284 Lafayette St, Suite 3cNew York, NY 10012-3355 · (212) 219-1791 · Fax (212) 219-1791
Phone(212) 219-1791
Fax(212) 219-1791
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154440121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 006017-1
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.
284 LAFAYETTE ST, New York, NY 10012
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lynne Kwalwasser Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2015 through October 27, 2027.

Opt-Out Effective DateOctober 27, 2015
Opt-Out In Effect ThroughOctober 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10012 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.

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 Lynne Kwalwasser's NPI number?

The NPI number for Lynne Kwalwasser is 1154440121. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Lynne Kwalwasser located?

Lynne Kwalwasser practices at 284 Lafayette St Suite 3C, New York, NY 10012. The listed phone number is (212) 219-1791.

What is Lynne Kwalwasser's specialty?

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

Is Lynne Kwalwasser enrolled in Medicare?

No. Lynne Kwalwasser has opted out of Medicare through October 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lynne Kwalwasser was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.