Individual provider Active NPI

Stewart Lipner, PHD

  • Psychologist
  • Glen Head, NY
National Provider Identifier
1003940396
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8610 Issued in NY
Practice address
333 Glen Head Rd Ste 205
Glen Head, NY 11545-1960
Phone
(516) 647-3452
Fax
(516) 759-5077
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8610 NY Primary

Addresses

Primary practice location

333 Glen Head Rd Ste 205
Glen Head, NY 11545-1960

Mailing address

333 Glen Head Rd Ste 205
Glen Head, NY 11545-1960
Phone (516) 647-3452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090123000085 NY Practitioner - Clinical Psychologist 5698839439 Practice locations: Glen Head, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

333 Glen Head Rd
Suite 205
Glen Head, NY 11545-1960
Phone (516) 647-3452

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8610NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Supply Guy Inc. CurrentSince Dec 14, 2025 Accepting new patients

Locations

333 Glen Head Rd
Ste 205
Glen Head, NY 11545
Phone (516) 625-2967

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1003940396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD STE 205",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451960",
            "telephone_number": "516-647-3452",
            "fax_number": "516-759-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD STE 205",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451960",
            "telephone_number": "516-647-3452",
            "fax_number": "516-759-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPNER",
        "first_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "8610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

Verify at the official NPI Registry.