Individual provider Active NPI

Ernesto Noam Lira de la Rosa

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1679949101
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
262 Taaffe PL
Apt 408
Brooklyn, NY 11205-4373
Phone
(414) 507-6248
NPI assigned
Aug 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Psychologist 103T00000X Primary

Addresses

Primary practice location

262 Taaffe PL
Apt 408
Brooklyn, NY 11205-4373

Mailing address

262 Taaffe PL
Apt 408
Brooklyn, NY 11205-4373
Phone (414) 507-6248

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ernesto Lira de la Rosa Licensed Psychologist PLLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1679949101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 TAAFFE PL",
            "address_2": "APT 408",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054373",
            "telephone_number": "414-507-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 TAAFFE PL",
            "address_2": "APT 408",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054373",
            "telephone_number": "414-507-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRA DE LA ROSA",
        "first_name": "ERNESTO",
        "middle_name": "NOAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.