Organization Active NPI

Rebecca Y Lieberman

  • Psychologist
  • Lansdale, PA
National Provider Identifier
1114932951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS2736-L Issued in PA
Legal business name
REBECCA Y LIEBERMAN
Practice address
423 Pennsylvania Ave
Lansdale, PA 19446-3524
Phone
(215) 362-0474
NPI assigned
Jul 30, 2006
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
Rebecca Y Lieberman
Title
Psychologist
Phone
(215) 362-0474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS2736-L PA Primary

Addresses

Primary practice location

423 Pennsylvania Ave
Lansdale, PA 19446-3524

Mailing address

423 Pennsylvania Ave
Lansdale, PA 19446-3524

Other identifiers 2

IdentifierTypeStateIssuer
PS2736-LOtherPAPSYCHOLOGY LICENSE
LI400488OtherPABLUE SHIELD PROVIDER #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114932951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 PENNSYLVANIA AVE",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 PENNSYLVANIA AVE",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463524",
            "telephone_number": "215-362-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA Y LIEBERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-362-0474"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS2736-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PS2736-L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "LI400488",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

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.