LILLIAN SULTAN PH.D.
NPI 1386992006
Psychologist - Clinical in New York, NY

Active since August 28, 2012Opted out of Medicare · through Nov 4, 2026
15 CHARLES ST APT 8A, NEW YORK, NY 10014(917) 592-3200 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lillian Sultan Ph.d. NPPES

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

LILLIAN SULTAN PH.D. (NPI 1386992006) is an individual clinical provider in New York, New York, licensed in New York (020345-1) and active in the NPI registry since August 2012. She has opted out of Medicare through November 4, 2026 and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1386992006
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLILLIAN SULTANCredential: PH.D.
Location Address15 CHARLES ST APT 8ANew York, NY 10014
Mailing Address15 Charles St Apt 8aNew York, NY 10014-3024
Sole ProprietorNo
Enumeration DateAugust 28, 2012
Last NPPES UpdateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
NPI 1386992006 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 · 020345-1
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.
15 CHARLES ST APT 8A, New York, NY 10014

Secondary Practice Location 1

Location 1423 E 23rd St, Mental Health/ 11MNew York, NY 10010-5011 · Phone (212) 686-7500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lillian Sultan Ph.d. 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 November 4, 2024 through November 4, 2026.

Opt-Out Effective DateNovember 4, 2024
Opt-Out In Effect ThroughNovember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Lillian Sultan's NPI number?

The NPI number for Lillian Sultan is 1386992006. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Where is Lillian Sultan located?

Lillian Sultan practices at 15 Charles St Apt 8A, New York, NY 10014. The listed phone number is (917) 592-3200.

What is Lillian Sultan's specialty?

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

Is Lillian Sultan enrolled in Medicare?

No. Lillian Sultan has opted out of Medicare through November 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lillian Sultan was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.