Individual provider Active NPI

Myron Bennett Liptzin, MD

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1649459793
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14834 Issued in NC
Practice address
215 Friendly Lane
Chapel Hill, NC 27514-3524
Phone
(919) 932-1111
Fax
(919) 933-6669
NPI assigned
Oct 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14834 NC Primary

Addresses

Primary practice location

215 Friendly Lane
Chapel Hill, NC 27514-3524

Mailing address

215 Friendly Lane
Chapel Hill, NC 27514-3524
Phone (919) 932-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14834NCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1649459793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FRIENDLY LANE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275143524",
            "telephone_number": "919-932-1111",
            "fax_number": "919-933-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FRIENDLY LANE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275143524",
            "telephone_number": "919-932-1111",
            "fax_number": "919-933-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTZIN",
        "first_name": "MYRON",
        "middle_name": "BENNETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "14834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.