Kate Lieberman, PHD

Key facts

NPI

1538697149

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

200001535 (DC)

Practice address

910 17TH St NW Ste 412
Washington, DC 20006-2601

Phone

(202) 499-4000

Fax

(703) 827-1919

NPI assigned

May 25, 2017

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Philosophy

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2023.

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1538697149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S WASHINGTON ST STE 103",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143626",
            "telephone_number": "703-827-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 17TH ST NW STE 412",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200062601",
            "telephone_number": "202-499-4000",
            "fax_number": "703-827-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025639",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "200001535",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

• Fatou Kine Liddell
• Angela Maloney Liddie, LICSW,LCSW-C
• Peter Liebenthal
• Pamela Lieber, LICSW
• Edwin James Lieberman, M.D.
• Susan B Lieberman, LCSW
• Joan Vera Liebermann, MD
• Liebna Medical Consultations PLLC
• Jane E Liedtka, MD
• Reine Kamtcheu Lienou

All providers in Washington, DC · Clinical Psychologist in District of Columbia