Clifford Lawrence Ivers, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010749 Issued in NY

Practice address

600 Oswego Street Suite a
Clifford Ivers PHD
Liverpool, NY 13088

Phone

(315) 451-0202

Fax

(315) 451-6667

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Partners in Psychological Health

  • Clinical Social Worker
  • Liverpool, NY
  • NPI 1235205196
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215019146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OSWEGO STREET SUITE A",
            "address_2": "CLIFFORD IVERS PHD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-451-0202",
            "fax_number": "315-451-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OSWEGO STREET SUITE A",
            "address_2": "CLIFFORD IVERS PHD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-451-0202",
            "fax_number": "315-451-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERS",
        "first_name": "CLIFFORD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene T Sack Counseling Services
• Lisa J. Isabell, NP
• David John Isabella, DC
• Rachel Jennifer Isabelle, FNP-BC
• Ayman Iskander, MD
• Nickolas Izzo, PA
• Jonathan M. Jacobs, M.D.
• Kahsenniiostha Jacobs
• Jana Dosztan-Reiss, Inc.
• James Hyuk-Jae Jang, D.D.S.

• Clinical Psychologist in Liverpool, NY
• Providers in Liverpool, 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.