Active NPI
Rebecca Sperling, PSY.D.
- Clinical Psychologist
- Long Beach, NY
National Provider Identifier
1255082392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024678
- Practice address
- 211 Lincoln Blvd
Long Beach, NY 11561-3624 - Phone
- (914) 269-8879
- NPI assigned
- Jan 11, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 024678 | NY | |
| Clinical Psychologist | 103TC0700X | 024678 | NY | Primary |
Addresses
Primary practice location
211 Lincoln Blvd
Long Beach, NY 11561-3624
Mailing address
211 Lincoln Blvd
Long Beach, NY 11561-3624
Phone (914) 844-7206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024678 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1255082392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 LINCOLN BLVD",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613624",
"telephone_number": "914-844-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 LINCOLN BLVD",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613624",
"telephone_number": "914-269-8879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERLING",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "024678",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.