Carrie D. Gottlieb, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

1133 Broadway
Suite 320
New York, NY 10010-7903

Phone

(917) 887-8614

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1417148537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY",
            "address_2": "SUITE 320",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107903",
            "telephone_number": "917-887-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY",
            "address_2": "SUITE 320",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107903",
            "telephone_number": "917-887-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "CARRIE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gottheimer
• Terry Gotthelf, DDS
• Jacqueline Jocheveth Gotthold, PSY.D.
• Shouri Venkata Gottiparthi
• Britt Erica Gottlich, PSY.D.
• Dana Michelle Gottlieb
• David Gottlieb, PSY.D.
• Erica Rudd Gottlieb, PHD
• Geoffrey J Gottlieb, MD
• Jacob J Gottlieb, MD

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Aug 5, 2007; 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.