Brad Samuel Lieberman, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

407830 Issued in NY

Practice address

233 7TH St Ste 200
Garden City, NY 11530-5747

Phone

(516) 737-0361

Fax

(917) 672-3491

NPI assigned

Jan 12, 2021

Sex

Male

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

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 9, 2026 through Jun 9, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lieberman NP in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Garden City, NY
  • NPI 1942154810
  NPD Authorized official
• Kim Medical of New York PLLC

  • Primary Care Clinic/Center
  • Plainview, NY
  • NPI 1770230039
  NPD (past)

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1447849765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 7TH ST STE 200",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305747",
            "telephone_number": "201-377-5122",
            "fax_number": "917-672-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 7TH ST STE 200",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305747",
            "telephone_number": "516-737-0361",
            "fax_number": "917-672-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "BRAD",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Liarikos
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• Liberty Acupuncture & Wellness, PC
• Lisa Ann Licari, R.D.
• Lieberman NP in Psychiatry, PLLC
• Derek Lieberman
• Jeffrey Wayne Lieberman, MD
• Life Reimagined, NP in Psychiatry, PLLC
• Life Skills Applied Behavior Analysis and Psychological Services, PC
• Life'S Worc

• Psychiatric/Mental Health Nurse Practitioner in Garden City, NY
• Providers in Garden City, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; 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.