Individual
JEFFREY MARK LACKNER
Active
Individual
JEFFREY MARK LACKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
012051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025302101
UNIVERA
NY
01
—
000523299002
BLUE CROSS
NY
01
—
6108856
IHA
NY
01
—
DF1724
RR MEDICARE
NY
Enumeration date
06/18/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up