Individual provider Active NPI

Allen Lee Hershman, PHD,PSYD

  • Psychologist
  • Goshen, NY
National Provider Identifier
1720008857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
010666 Issued in NY
Practice address
3 Coates Drive
Suite 8
Goshen, NY 10924
Phone
(845) 291-0999
Fax
(845) 294-8921
NPI assigned
Jul 20, 2006
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
Psychologist 103T00000X 010666 NY Primary

Addresses

Primary practice location

3 Coates Drive
Suite 8
Goshen, NY 10924

Mailing address

59 Pickerel Rd
Monroe, NY 10950-5043
Phone (845) 783-9156

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
I20190402000842 NY Practitioner - Clinical Psychologist 7618218595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calm Seas Psychotherapy LCSW PLLCGroup PAC ID 9830425867, 5 clinicians

Practice addresses (Care Compare)

11700 Main Rd
Suite 1
Mattituck, NY 11952-1525
Phone (888) 975-2256

28 N Country Rd
Suite 203
Mount Sinai, NY 11766-1518
Phone (888) 975-2256

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Seas Psychotherapy, LCSW,PLLC CurrentSince Nov 1, 2019 Accepting new patients
Stress Reduction and Psychological Services, PC PastSince Nov 4, 2008 Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Past Accepting new patients
Mary Kathleen Martin Nurse Practitioner in Psychiatry, PLLC PastSince Sep 1, 2022 Accepting new patients

Locations

295 Main St
Rm 766
Buffalo, NY 14203
Phone (888) 975-2256

155 N Main St
Liberty, NY 12754
Phone (631) 831-2271

11700 Main Rd
Ste 1
Mattituck, NY 11952
Phone (631) 624-7839

28 N Country Rd
Ste 203
Mount Sinai, NY 11766
Phone (888) 975-2256

Organizations & group practices 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720008857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PICKEREL RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505043",
            "telephone_number": "845-783-9156",
            "fax_number": "845-783-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COATES DRIVE",
            "address_2": "SUITE 8",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "10924",
            "telephone_number": "845-291-0999",
            "fax_number": "845-294-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHMAN",
        "first_name": "ALLEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD,PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.