Healthcare Provider Details

I. General information

NPI: 1275407645
Provider Name (Legal Business Name): LS NP IN PSYCHIATRY AND ADULT HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

481 MAIN ST STE 503
NEW ROCHELLE NY
10801-6360
US

IV. Provider business mailing address

481 MAIN ST STE 503
NEW ROCHELLE NY
10801-6360
US

V. Phone/Fax

Practice location:
  • Phone: 973-476-1764
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: LORRAINE ANN STEPHENSON
Title or Position: CEO
Credential:
Phone: 862-223-8449