Johanna Marjorie Tiemann, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014644 Issued in NY

Practice address

215 W 90TH St
4F
New York, NY 10024-1221

Phone

(212) 662-0152

Fax

(212) 662-0152

NPI assigned

Mar 7, 2007

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Aging Matters Psychological Services, PC

  • Psychologist
  • White Plains, NY
  • NPI 1154337327
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1407986326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 90TH ST",
            "address_2": "4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241221",
            "telephone_number": "212-662-0152",
            "fax_number": "212-662-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 90TH ST",
            "address_2": "4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241221",
            "telephone_number": "212-662-0152",
            "fax_number": "212-662-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEMANN",
        "first_name": "JOHANNA",
        "middle_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Carlin Tiedemann, LMSW
• Vera Tiedje
• Malik Tiedt, MS, RDN
• Leonore Tiefer, PHD
• Alanna Tieman
• Benjamin Jiaan Tien, LMSW
• Charles Tiene
• Allyson Tierney
• Daniel Ryan Tierney, PA-C
• Faith Ayumi Tierney, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.