Individual provider Active NPI

Craig Litman, PH.D.

  • Clinical Psychologist
  • Wantagh, NY
National Provider Identifier
1699839571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013976 Issued in NY
Practice address
1926 Oakland Ave
Wantagh, NY 11793-3610
Phone
(516) 359-7124
Fax
(516) 781-0457
NPI assigned
Dec 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Clinical Psychologist 103TC0700X 013976 NY Primary

Addresses

Primary practice location

1926 Oakland Ave
Wantagh, NY 11793-3610

Mailing address

285 Cedarhurst Ave
Apartment I3
Cedarhurst, NY 11516-1614
Phone (516) 359-7124

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
I20250909004332 NY Practitioner - Clinical Psychologist 7719480557 Practice locations: Wantagh, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1403 Sycamore Ave
Merrick, NY 11566-1801

1926 Oakland Ave
Wantagh, NY 11793-3610
Phone (516) 359-7124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013976NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wantagh Psychological Counseling Services PC PastSince Dec 8, 2010 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699839571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 CEDARHURST AVE",
            "address_2": "APARTMENT I3",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161614",
            "telephone_number": "516-359-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 OAKLAND AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933610",
            "telephone_number": "516-359-7124",
            "fax_number": "516-781-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITMAN",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.