M. David Liberman PHD SC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

060.002873 Issued in IL

Legal business name

M. DAVID LIBERMAN PHD SC

Practice address

600 Central Ave
Suite 235
Highland Park, IL 60035-3211

Phone

(847) 432-4404

Fax

(847) 432-6349

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell David Liberman, PH.D.NPI 1497817217

Title

President

Phone

(847) 432-4404

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell David Liberman, PH.D.

  • Clinical Psychologist
  • Highland Park, IL
  • NPI 1497817217
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1396802906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "address_2": "SUITE 235",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353211",
            "telephone_number": "847-432-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "address_2": "SUITE 235",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353211",
            "telephone_number": "847-432-4404",
            "fax_number": "847-432-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. DAVID LIBERMAN PHD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "LIBERMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-432-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "060.002873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Gail Lucterhand, MAT
• Miriam S Lutwak, M.D.
• Luxottica of America Inc. (Lenscrafters #089)
• Debra Lyman, LA
• M. Al Asadi DDS PC (The Smile Group)
• Hilary Maccrae, AUD
• Madeleine Neems, M.D. LLC
• Wendy D Madgwick, P.T
• Susan Faith Madnek-Oxman, RD
• Parag A Majmudar, MD

• Clinical Psychologist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.