Individual provider Active NPI

Edward J Trieber, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1063678662
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007878-1 Issued in NY
Practice address
55 W 16TH St
New York, NY 10011-6305
Phone
(212) 924-4046
Fax
(212) 924-4046
NPI assigned
Aug 3, 2008
Last updated
Aug 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 007878-1 NY Primary

Addresses

Primary practice location

55 W 16TH St
New York, NY 10011-6305

Mailing address

55 W 16TH St
New York, NY 10011-6305
Phone (212) 924-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
007878-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1063678662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 16TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116305",
            "telephone_number": "212-924-4046",
            "fax_number": "212-924-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 16TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116305",
            "telephone_number": "212-924-4046",
            "fax_number": "212-924-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEBER",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007878-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.