Active NPI
Ada Liberant
- Clinical Child & Adolescent Psychologist
- Upper Saddle River, NJ
National Provider Identifier
1811209729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 017499
- Practice address
- 345 Rte 17
Suite 23
Upper Saddle River, NJ 07458-2307 - Phone
- (201) 540-9170
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 017499 | NY | Primary |
Addresses
Primary practice location
345 Rte 17
Suite 23
Upper Saddle River, NJ 07458-2307
Mailing address
345 Rte 17
Suite 23
Upper Saddle River, NJ 07458-2307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017499 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1811209729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 RTE 17",
"address_2": "SUITE 23",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074582307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 RTE 17",
"address_2": "SUITE 23",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074582307",
"telephone_number": "201-540-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERANT",
"first_name": "ADA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "017499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Saddle River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.