Active NPI
Simona Lumerman, PSY.D.
- Clinical Psychologist
- Cedarhurst, NY
National Provider Identifier
1124209689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014320-1
- Practice address
- 123 Grove Avenue
Suite #202
Cedarhurst, NY 11516-2322 - Phone
- (516) 569-0568
- Fax
- (516) 792-1234
- NPI assigned
- Nov 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014320-1 | NY | Primary |
Addresses
Primary practice location
123 Grove Avenue
Suite #202
Cedarhurst, NY 11516-2322
Mailing address
123 Grove Ave
Suite #202
Cedarhurst, NY 11516-2322
Phone (516) 569-0568
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014320 | NY | MD | Physical Therapist |
| 014320-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benzaquen Psychological Services, PLLC | Clinical | Past | Accepting new patients |
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": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1124209689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 GROVE AVE",
"address_2": "SUITE #202",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162322",
"telephone_number": "516-569-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 GROVE AVENUE",
"address_2": "SUITE #202",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162322",
"telephone_number": "516-569-0568",
"fax_number": "516-792-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMERMAN",
"first_name": "SIMONA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014320-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.