Neil R Liebowitz, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

025716 Issued in CT

Practice address

1115 West St
Southington, CT 06489-6025

Phone

(860) 276-6000

Fax

(860) 276-6059

NPI assigned

Mar 21, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holtzman Medical Group, LLCGroup PAC ID 9133495922, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: neil.liebowitz.1@16324.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16324/brand/1/csg/1/fhir/r4

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.

• Holtzman Medical Group, LLC

  • Internal Medicine Physician
  • Brookline, MA
  • NPI 1184145955
  Medicare reassignment Care Compare group NPD
• Cadtc Partners LLC

  • Mental Health Counselor
  • Farmington, CT
  • NPI 1912356205
  NPD (past)
• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)
• Holtzman Medical Specialty Services

  • Internal Medicine Physician
  • Brookline, MA
  • NPI 1437859105
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1609835362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-276-6000",
            "fax_number": "860-276-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEST ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896025",
            "telephone_number": "860-276-6000",
            "fax_number": "860-276-6059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "06032",
            "country_code": "US",
            "telephone_number": "860-677-2550 x11",
            "fax_number": "860-677-4975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Kane St",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061192110",
            "country_code": "US",
            "telephone_number": "860-523-6436",
            "fax_number": "860-523-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBOWITZ",
        "first_name": "NEIL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "025716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P652961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM  BC",
            "identifier": "010025716CT05",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lifespring Pediatrics LLC
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• Psychiatry Physician in Southington, CT
• Providers in Southington, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.