Herman M. Davidovicz, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

004955-1 Issued in NY

Practice address

45 N Station PLZ
Suite 305
Great Neck, NY 11021-5011

Phone

(516) 487-4466

Fax

(516) 487-4485

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Herman M Davidovicz & Stuart Rothman PTR

  dba LI Neuri Psychological Consultants

  • Clinical Neuropsychologist
  • Great Neck, NY
  • NPI 1235596263
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376631754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N STATION PLZ",
            "address_2": "SUITE 305",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215011",
            "telephone_number": "516-487-4466",
            "fax_number": "516-487-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N STATION PLZ",
            "address_2": "SUITE 305",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215011",
            "telephone_number": "516-487-4466",
            "fax_number": "516-487-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVICZ",
        "first_name": "HERMAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "004955-1",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "004955-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.