Individual provider Active NPI

Shimon N Littman, PSY.D

  • Cognitive & Behavioral Psychologist
  • New York, NY
National Provider Identifier
1730722232
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Practice address
495 W 187TH St Apt 5E
New York, NY 10033-1521
Phone
(310) 991-8541
NPI assigned
Oct 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X Primary

Addresses

Primary practice location

495 W 187TH St Apt 5E
New York, NY 10033-1521

Mailing address

495 W 187TH St Apt 5E
New York, NY 10033-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 17, 2024 through Jul 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1730722232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 W 187TH ST APT 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W 187TH ST APT 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331521",
            "telephone_number": "310-991-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTMAN",
        "first_name": "SHIMON",
        "middle_name": "N",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.