Individual provider Active NPI

Marcus Michael Silverman, M.A., L.P.

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1164823910
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000967 Issued in NY
Practice address
1115 Broadway FL 10
#1003
New York, NY 10010-3454
Phone
(347) 807-5870
NPI assigned
Sep 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000967 NY Primary

Addresses

Primary practice location

1115 Broadway FL 10
#1003
New York, NY 10010-3454

Mailing address

1212 Ocean Ave
1D
Brooklyn, NY 11230-7473
Phone (347) 807-5870

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000967NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1164823910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 OCEAN AVE",
            "address_2": "1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307473",
            "telephone_number": "347-807-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BROADWAY FL 10",
            "address_2": "#1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103454",
            "telephone_number": "347-807-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "MARCUS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-11",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000967",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 2016; 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.