Active NPI
Nyspi
- Psychologist
- Hastings on Hudson, NY
National Provider Identifier
1073646402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 011960
- Legal business name
- NYSPI
- Practice address
- 623 Warburton Ave
Hastings on Hudson, NY 10706-1523 - Phone
- (914) 231-6393
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Lieberman, M.D.
- Title
- Director
- Phone
- (212) 543-5301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011960 | NY | Primary |
Addresses
Primary practice location
623 Warburton Ave
Hastings on Hudson, NY 10706-1523
Mailing address
565 Broadway
2A
Hastings on Hudson, NY 10706-1730
Phone (914) 231-6393
National Provider Directory
National Provider DirectoryLocations
623 Warburton Ave
Hastings on Hudson, NY 10706
Phone (914) 478-1330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073646402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 BROADWAY",
"address_2": "2A",
"city": "HASTINGS ON HUDSON",
"state": "NY",
"postal_code": "107061730",
"telephone_number": "914-231-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 WARBURTON AVE",
"city": "HASTINGS ON HUDSON",
"state": "NY",
"postal_code": "107061523",
"telephone_number": "914-231-6393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYSPI",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-543-5301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NY",
"license": "011960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hastings on Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.