Individual provider Active NPI

Marshall L. Silverstein, PH.D.

  • Clinical Psychologist
  • Westbury, NY
National Provider Identifier
1225052699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010819-2 Issued in NY
Practice address
710 Salisbury Park Dr
Westbury, NY 11590-5820
Phone
(516) 338-2810
Fax
(516) 338-2810
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

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
Clinical Psychologist 103TC0700X 010819-2 NY Primary

Addresses

Primary practice location

710 Salisbury Park Dr
Westbury, NY 11590-5820

Mailing address

710 Salisbury Park Dr
Westbury, NY 11590-5820
Phone (516) 338-2810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000205 MA Practitioner - Clinical Psychologist 9638367816 Practice locations: Pittsfield, MA; Richmond, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Wayne State University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 A Swamp Rd
Richmond, MA 01254-0428
Phone (413) 698-8123

PO Box
Suite 428
Richmond, MA 01254-0428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
010819-2NYMDClinical Psychologist
9509MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225052699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SALISBURY PARK DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905820",
            "telephone_number": "516-338-2810",
            "fax_number": "516-338-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SALISBURY PARK DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905820",
            "telephone_number": "516-338-2810",
            "fax_number": "516-338-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSTEIN",
        "first_name": "MARSHALL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010819-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.