North Shore Tbi Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

012393-1 Issued in NY

Legal business name

NORTH SHORE TBI SERVICES, INC.

Practice address

17 Arosa CT
Greenlawn, NY 11740-1136

Phone

(917) 921-1485

NPI assigned

Jan 13, 2009

Organization subpart

No

Name

Dr. Lisa M. Liberatore, PH.D.NPI 1043450687

Title

Director

Phone

(917) 921-1485

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Liberatore, PH.D.

  • Clinical Psychologist
  • Greenlawn, NY
  • NPI 1043450687
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2009.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1760629703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 AROSA CT",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 AROSA CT",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401136",
            "telephone_number": "917-921-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE TBI SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "LIBERATORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-921-1485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "012393-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Movement Sciences Physical Therapy PC
• Gregory Muhs, LCSW
• Katherine Murphy, DO
• Keith Nelson, D.C.
• North Shore Medical Group of the Mount Sinai School of Medicine
• David Nussbaum
• Alexander O'Connell, MD
• Kensy Orcel
• Juli Michelle Osborne, LPN
• Leslie Alicia Patrick, MA, SLP/TSSLD

• All providers in Greenlawn, NY
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.