Shana Brown-Lieberson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019876 Issued in PA

Practice address

201 N Presidential Blvd Ste 102
Bala Cynwyd, PA 19004-1257

Phone

(610) 572-2824

NPI assigned

May 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1235828542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DUDLEY AVE APT A4",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722229",
            "telephone_number": "215-520-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PRESIDENTIAL BLVD STE 102",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041257",
            "telephone_number": "610-572-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Chesley Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190631760",
            "country_code": "US",
            "telephone_number": "610-233-2903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-LIEBERSON",
        "first_name": "SHANA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS019876",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS019876",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandeis Brockman, CRNP
• Francine R Broder, PSYD
• Elinor Brody, LCSW
• Matthew Brody, DPT
• Lamya Broussard, LSW, MSS, MLSP
• Charlotte Krehbiel Brown, MD
• Leslie A. Brown, M.D.
• Martin Mark Brown, D.D.S.
• Natasha Samantha Brown, LPC
• Rakirah Brown, LPC

• Clinical Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.