Organization Active NPI

Nyspi

  • Psychologist
  • Hastings on Hudson, NY
National Provider Identifier
1073646402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011960 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.