Organization Active NPI

Julian M. Herskowitz PH.D., Psychologist, P.C.

  • Clinical Psychologist
  • Huntington, NY
National Provider Identifier
1811263429
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006644 Issued in NY
Legal business name
JULIAN M. HERSKOWITZ PH.D., PSYCHOLOGIST, P.C.
Practice address
755 Park Ave
Suite 140
Huntington, NY 11743-3975
Phone
(631) 549-8867
Fax
(631) 423-8446
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Julian M. Herskowitz, PH.D.
Title
Director
Phone
(631) 549-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 006644 NY Primary

Addresses

Primary practice location

755 Park Ave
Suite 140
Huntington, NY 11743-3975

Mailing address

755 Park Ave
Suite 140
Huntington, NY 11743-3975
Phone (631) 549-8867

Other identifiers 2

IdentifierTypeStateIssuer
1811263429OtherNYMEDICARE NPI
A100066565OtherNYMEDICARE P-TAN

Other names 1

  • TERRAP ANXIETY AND PHOBIACARE Doing business as

National Provider Directory

National Provider Directory

Locations

755 Park Ave
Ste 140
Huntington, NY 11743
Phone (631) 549-8867

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1811263429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 PARK AVE",
            "address_2": "SUITE 140",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433975",
            "telephone_number": "631-549-8867",
            "fax_number": "631-423-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PARK AVE",
            "address_2": "SUITE 140",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433975",
            "telephone_number": "631-549-8867",
            "fax_number": "631-423-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN M. HERSKOWITZ PH.D., PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-549-8867",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1811263429",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "A100066565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TERRAP ANXIETY AND PHOBIACARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.