Active NPI
Mira Hope Cymerman, PSY.D.
- Psychologist
- White Plains, NY
National Provider Identifier
1255642658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0590
- Practice address
- 75 S Broadway Ste 415
White Plains, NY 10601-4413 - Phone
- (914) 400-5499
- Fax
- (914) 400-5499
- NPI assigned
- Jun 30, 2010
- Last updated
- Sep 20, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016693 | NY | |
| Psychologist | 103T00000X | PY0590 | NV | Primary |
Addresses
Primary practice location
75 S Broadway Ste 415
White Plains, NY 10601-4413
Mailing address
7 Deer Run
Chappaqua, NY 10514-3721
Phone (914) 400-5499
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 |
|---|---|---|---|
| PY0590 | NV | MD | Psychologist |
| 016693 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Neuro & Psychological Specialties | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Henderson, NV
- NPI 1619042181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600560000000",
"number": "1255642658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DEER RUN",
"city": "CHAPPAQUA",
"state": "NY",
"postal_code": "105143721",
"telephone_number": "914-400-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 S BROADWAY STE 415",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014413",
"telephone_number": "914-400-5499",
"fax_number": "914-400-5499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYMERMAN",
"first_name": "MIRA",
"middle_name": "HOPE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2020-09-20",
"certification_date": "2020-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016693",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY0590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.