Stacey Halpern, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0105711 Issued in NY

Practice address

10230 Queens BL
#LC
Forest Hills, NY 11375

Phone

(718) 459-0109

Fax

(718) 459-0109

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447302955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 QUEENS BL",
            "address_2": "#LC",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-459-0109",
            "fax_number": "718-459-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 QUEENS BL",
            "address_2": "#LC",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-459-0109",
            "fax_number": "718-459-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0105711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ellen Hakim, MA CCC-SLP
• Geoffrey Stuart Halberstadt
• Susha Cheryl Halberstam, DDS
• Ty T Hall
• Jodi I Halper, DDS
• James Hambel
• Brian Hamel, RN
• Emily Hamel
• Omar Hamisa
• Hammoud Medical Services PC

• Clinical Psychologist in Forest Hills, NY
• Providers in Forest Hills, 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 Jul 8, 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.