Individual provider Active NPI

Andrew M Stromberg, LCSW

  • Psychologist
  • New York, NY
National Provider Identifier
1144387846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PR0130801 Issued in NY
Practice address
26 West 9 St
Apt 7E
New York, NY 10011-8532
Phone
(212) 475-1971
Fax
(212) 533-9479
NPI assigned
Jan 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PR0130801 NY Primary

Addresses

Primary practice location

26 West 9 St
Apt 7E
New York, NY 10011-8532

Mailing address

26 West 9 St
Apt 7E
New York, NY 10011-8532
Phone (212) 475-1971

Other identifiers 1

IdentifierTypeStateIssuer
02739908MedicaidNY

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

LicenseStateTypeSpecialty
PR0130801NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew M Stromberg Deborah Boughner CSW PC CurrentSince Apr 22, 1993 Accepting new patients

Locations

26 W 9th St
Apt 7E
New York, NY 10011
Phone (212) 475-1691

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144387846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WEST 9 ST",
            "address_2": "APT 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118532",
            "telephone_number": "212-475-1971",
            "fax_number": "212-533-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WEST 9 ST",
            "address_2": "APT 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118532",
            "telephone_number": "212-475-1971",
            "fax_number": "212-533-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMBERG",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "PR0130801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02739908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.