JEFFREY MARK LACKNER PSY.D. NPI 1821293168

NPI Information

NPI: 1821293168
Provider Name: JEFFREY MARK LACKNER, PSY.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

PECOS Registration: Yes

Address:
462 GRIDER ST
ROOM G208
BUFFALO, NY
ZIP 14215
Phone: (716) 898-5671
Get Directions

Jeffrey Mark Lackner, PSY.D. is a cognitive and behavioral psychologist in Buffalo, NY with 32 years of experience. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Jeffrey Mark Lackner, PSY.D. NPI is 1821293168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

462 GRIDER ST
ROOM G208
BUFFALO, NY
ZIP 14215-021
Phone: (716) 898-5671
Fax: (716) 898-3040

The NPI 1821293168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	012051	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00025302101	OTHER	NEW YORK	UNIVERA
2	000523299002	OTHER	NEW YORK	BLUE CROSS
3	AA0415	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
4	DF1724	OTHER	NEW YORK	RR MEDICARE
5	6108856	OTHER	NEW YORK	IHA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »