Healthcare Provider Details

I. General information

NPI: 1598114845
Provider Name (Legal Business Name): NINA LEI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W 57TH ST SUITE 1100
NEW YORK NY
10019-2303
US

IV. Provider business mailing address

119 W 57TH ST STE 1100
NEW YORK NY
10019-2401
US

V. Phone/Fax

Practice location:
  • Phone: 646-632-2807
  • Fax:
Mailing address:
  • Phone: 646-543-5987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number026853
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number007155
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: