Lydia Warner, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013889 Issued in NY

Practice address

2174 Hewlett Ave Ste 216
Merrick, NY 11566-3620

Phone

(516) 640-2960

Fax

(516) 763-2557

NPI assigned

Sep 1, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1386162048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 JANE LN",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 HEWLETT AVE STE 216",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663620",
            "telephone_number": "516-640-2960",
            "fax_number": "516-763-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "LYDIA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "013889",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Waldner
• Elisabeth Chandlin Walker
• Richard Edward Walker, RPH
• Richard Emerson Wall, PH.D.
• Danny C Wang, MD, MPH
• Wendy Wasser, MA-SLP
• Anne Jennifer Waterman Carrington, MS
• Sheryl Joy Waters, SLP
• Amanda Watkins
• Fred Ronald Waxenberg

• Clinical Psychologist in Merrick, NY
• Providers in Merrick, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.