Individual provider Active NPI

Isabel Ann Lerman, PH.D.

  • Clinical Psychologist
  • Summit, NJ
National Provider Identifier
1659586519
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI00305300 Issued in NJ
Practice address
450 Springfield Ave Ste 302
Summit, NJ 07901-2611
Phone
(973) 370-2963
Fax
(908) 375-8122
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X SI00305300 NJ Primary

Addresses

Primary practice location

450 Springfield Ave Ste 302
Summit, NJ 07901-2611

Mailing address

450 Springfield Ave Ste 302
Summit, NJ 07901-2611
Phone (973) 370-2963

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SI00305300NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1659586519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SPRINGFIELD AVE STE 302",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012611",
            "telephone_number": "973-370-2963",
            "fax_number": "908-375-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SPRINGFIELD AVE STE 302",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012611",
            "telephone_number": "973-370-2963",
            "fax_number": "908-375-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMAN",
        "first_name": "ISABEL",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI00305300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.