Active NPI
Lisa Joy Newman, PH.D.
- Counseling Psychologist
- Delmar, NY
National Provider Identifier
1174680797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 8634
- Practice address
- 413 Kenwood Ave
Delmar, NY 12054-3231 - Phone
- (518) 242-5735
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 8634 | NY | Primary |
Addresses
Primary practice location
413 Kenwood Ave
Delmar, NY 12054-3231
Mailing address
1 Wedge Rd
Delmar, NY 12054-3315
Phone (518) 439-3368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01605678 | Medicaid | NY |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8634 | NY | MD | Counseling Psychologist |
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": "1174680797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WEDGE RD",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543315",
"telephone_number": "518-439-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 KENWOOD AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543231",
"telephone_number": "518-242-5735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "LISA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "8634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01605678",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delmar, 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.