NPIMap

Organization Active NPI

Reena Liberman

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1225517261
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
REENA LIBERMAN
Practice address
1207 Packard St
Ann Arbor, MI 48104-3810
Phone
(734) 741-1655
NPI assigned
Aug 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Authorized official

Name
Reena Liberman, M.S.NPI 1053531533
Title
Owner, Private Practice
Phone
(734) 741-1655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1207 Packard St
Ann Arbor, MI 48104-3810

Mailing address

1207 Packard St
Ann Arbor, MI 48104-3810

National Provider Directory

National Provider Directory

Locations

1207 Packard St
Ann Arbor, MI 48104
Phone (734) 741-1655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1225517261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043810",
            "telephone_number": "734-741-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENA LIBERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "LIBERMAN",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "OWNER, PRIVATE PRACTICE",
        "authorized_official_telephone_number": "734-741-1655",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.