Organization Active NPI

Catherine a Liebhauser MD LLC

  • Psychiatry Physician
  • Montclair, NJ
National Provider Identifier
1477858694
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA56760 Issued in NJ
Legal business name
CATHERINE A LIEBHAUSER MD LLC
Doing business as
Catherine A Liebhauser MD LLC
Practice address
24 Portland PL
Montclair, NJ 07042-2822
Phone
(973) 746-7712
Fax
(201) 462-3847
NPI assigned
Jan 19, 2011
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine A Liebhauser, MDNPI 1497782775
Title
Owner
Phone
(973) 746-7712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MA56760 NJ Primary

Addresses

Primary practice location

24 Portland PL
Montclair, NJ 07042-2822

Mailing address

10 Crestmont Rd Apt 6R
Montclair, NJ 07042-1936
Phone (973) 746-7712

Other names 1

  • Catherine A Liebhauser MD LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cliebmontclair@aol.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000066 NJ Part B Supplier - Clinic/Group Practice 0042497588 Receives reassigned benefits from 1 practitioner
Practice locations: Montclair, NJ

National Provider Directory

National Provider Directory

Locations

311 Claremont Ave
Ste 1B
Montclair, NJ 07042
Phone (973) 744-8631

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1477858694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CRESTMONT RD APT 6R",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421936",
            "telephone_number": "973-746-7712",
            "fax_number": "201-462-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PORTLAND PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422822",
            "telephone_number": "973-746-7712",
            "fax_number": "201-462-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE A LIEBHAUSER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "LIEBHAUSER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-746-7712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA56760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cliebmontclair@aol.com",
            "affiliation": "N",
            "address_1": "24 Portland Pl",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070422822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Catherine A Liebhauser MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.