Active NPI
Catherine A Liebhauser, M.D.
- Psychiatry Physician
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA05676000
- Practice address
- 24 Portland PL
Montclair, NJ 07042-2822 - Phone
- (973) 746-7712
- Fax
- (201) 462-3847
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA05676000 | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cliebmontclair@aol.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070205000659 | NJ | Practitioner - Psychiatry | 6002818069 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
24 Portland PL
Montclair, NJ 07042-2822
Phone (973) 746-7712
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine a Liebhauser MD LLC | Psychiatry | Current | Accepting new patients |
Locations
411 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 239-3222
24 Portland Pl
Montclair, NJ 07042
Phone (973) 746-2250
85 Park St
Montclair, NJ 07042
Phone (973) 744-8631
311 Claremont Ave
Ste 1B
Montclair, NJ 07042
Phone (973) 744-8631
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1497782775",
"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": "012-465-4610"
},
{
"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": {
"last_name": "LIEBHAUSER",
"first_name": "CATHERINE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA05676000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cliebmontclair@aol.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "24 Portland Pl",
"city": "Montclair",
"state": "NJ",
"country_code": "US",
"postal_code": "070422822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.