Matthew R Lippman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11336 Issued in NY

Practice address

1745 Broadway
17 FL.
New York, NY 10019-4640

Phone

(212) 851-8100

Fax

(212) 537-0102

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bio Behavioral Psychology P.C.

  • Clinical Psychologist
  • Great Neck, NY
  • NPI 1063659555
  Medicare reassignment NPD
• Clinical Psychassociates LLP

  • Clinical Psychologist
  • New York, NY
  • NPI 1124051925
  NPD (past)
• MHSP,Inc

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023049723
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1750390878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CYPRESS STREET",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11001",
            "telephone_number": "212-851-8100",
            "fax_number": "212-932-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 BROADWAY",
            "address_2": "17 FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194640",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "11336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01578656",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Lippman
• Iris Joy Lippman, OTR
• Jodie Lippman, PT
• Madeline K. Lippman, PH.D.
• Madelyn Lippman, CCC-SLP, TSSLD
• Rebecca Lippman
• Jennifer Lynn Lippmann, RPA-C
• Paula Barbara Lippsett, M.D.
• Fred Lipschitz, PH.D.
• Robin L Lipschitz, M.D

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.