Active NPI
Joshua Hooberman, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1255576302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017848
- Practice address
- 412 6TH Ave
#709
New York, NY 10011-8409 - Phone
- (646) 645-9709
- NPI assigned
- Dec 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017848 | NY | Primary |
Addresses
Primary practice location
412 6TH Ave
#709
New York, NY 10011-8409
Mailing address
155 Lafayette Ave
#3D
Brooklyn, NY 11238-1074
Phone (646) 645-9709
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017848 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1255576302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LAFAYETTE AVE",
"address_2": "#3D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112381074",
"telephone_number": "646-645-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 6TH AVE",
"address_2": "#709",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118409",
"telephone_number": "646-645-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOBERMAN",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-03",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.