David Statman, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022159 Issued in NY

Practice address

9220 165TH St
Jamaica, NY 11433-1104

Phone

(516) 466-0444

NPI assigned

Nov 29, 2018

Last updated

Nov 29, 2018By 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 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1417427774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WESTMINSTER RD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161126",
            "telephone_number": "646-875-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331104",
            "telephone_number": "516-466-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022159",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "022159",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022159",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "022159",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "022159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Stark
• Shelby Arielle Starker, DPT
• Barbara H. Starks, MS,CDN
• John Starner
• State of New York Comptrollers Office (New York State Veterans Home in New York City - St Albans)
• Staywell Medical Supplies
• Angela Stazzone, LMSW
• Marcy Renee Stein-Albert, MD
• Andrew David Stein, LCSW
• Sandra Stein, MS, RD, CDE, CDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.