Individual provider Active NPI

Marla Silverman, PHD

  • Psychologist
  • Nanuet, NY
National Provider Identifier
1679587166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004852 Issued in NY
Practice address
137 East Townline Rd
Nanuet, NY 10954
Phone
(845) 623-0807
Fax
(845) 623-0807
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004852 NY Primary

Addresses

Primary practice location

137 East Townline Rd
Nanuet, NY 10954

Mailing address

137 East Townline Rd
Nanuet, NY 10954
Phone (845) 623-0807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000207 NY Practitioner - Clinical Psychologist 9830372879 Practice locations: Nanuet, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
New York University School of Medicine, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

137 E Townline Rd
Nanuet, NY 10954-3741

137 Townline Rd
Nanuet, NY 10954-3741
Phone (845) 623-0807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004852NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679587166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 EAST TOWNLINE RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-623-0807",
            "fax_number": "845-623-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EAST TOWNLINE RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-623-0807",
            "fax_number": "845-623-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "MARLA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "004852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.