Individual provider Active NPI

Ina Lesley Fiedler, PSY.D., YESHIVA UNIV

  • School Psychologist
  • White Plains, NY
National Provider Identifier
1124385984
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
NYS#011954 Issued in NY
Practice address
30 Manhattan Avenue
Lois Bronz Children'S Center
White Plains, NY 10607
Phone
(914) 761-6134
Fax
(914) 761-5461
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NYS#011954 NY Primary

Addresses

Primary practice location

30 Manhattan Avenue
Lois Bronz Children'S Center
White Plains, NY 10607

Mailing address

30 Manhattan Avenue
Lois Bronz Children'S Center
White Plains, NY 10607
Phone (914) 761-6134

Other names 1

  • Miss Ina Lesley Sternberg Former name

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

State licenses

LicenseStateTypeSpecialty
NYS#011954NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1124385984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MANHATTAN AVENUE",
            "address_2": "LOIS BRONZ CHILDREN'S CENTER",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10607",
            "telephone_number": "914-761-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MANHATTAN AVENUE",
            "address_2": "LOIS BRONZ CHILDREN'S CENTER",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10607",
            "telephone_number": "914-761-6134",
            "fax_number": "914-761-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "INA",
        "middle_name": "LESLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D., YESHIVA UNIV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "NYS#011954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INA",
            "last_name": "STERNBERG",
            "middle_name": "LESLEY",
            "prefix": "MISS",
            "credential": "PSY.D. (DOCTOR OF PS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.