Margeaux Rosette Lieberman, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY2007 Issued in CA

Practice address

1708 Shattuck Ave
Berkeley, CA 94709-1700

Phone

(510) 289-4812

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mlieberman160330@hisp.ehr.sutterhealth.org

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1356596555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061837",
            "telephone_number": "510-289-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091700",
            "telephone_number": "510-289-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "MARGEAUX",
        "middle_name": "ROSETTE",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Alexander Liboiron-Cohen, AU.D.
• Kaylan Licausi, ASW
• Hayley Elizabeth Liddle
• Rebecca Susan Lieberknecht, PSYCHOLOGICAL ASSIST
• Harry Joseph Lieberman, MFT
• Denni Liebowitz, LCSW
• Bryce Liedtke
• Tiffany Liew, PPS
• Life Beyond Trauma
• Life by Design Marriage and Family Therapy Inc

• Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.