Donna E Lieberman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008609 Issued in NY

Practice address

211 W 56TH St Apt 6J
New York, NY 10019-4317

Phone

(212) 489-1701

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154471795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 56TH ST APT 6J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194317",
            "telephone_number": "212-489-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 56TH ST APT 6J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194317",
            "telephone_number": "212-489-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "DONNA",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "008609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Lieberman
• Beth W. Lieberman, M.D.
• Bruce A Lieberman, MD
• Charlotte Annie Lieberman
• Diane Axt Lieberman, PHD, RD ,CSR ,CDN
• Dorothy Lieberman, M.D.
• Edward Joshua Lieberman, DDS
• Evan Lieberman
• Grace Lieberman
• Janice Susan Lieberman, PHD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• 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.