Maksym Lider, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5511 Issued in NY

Practice address

7620 Bay Pkwy
Suite 1C
Brooklyn, NY 11214-1532

Phone

(516) 313-6268

NPI assigned

Dec 16, 2010

Sex

Male

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

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1407159296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 GRANT AVE",
            "address_2": "UNIT 18",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421103",
            "telephone_number": "516-313-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 BAY PKWY",
            "address_2": "SUITE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141532",
            "telephone_number": "516-313-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDER",
        "first_name": "MAKSYM",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "5511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.