Active NPI
Julian M. Herskowitz PH.D., Psychologist, P.C.
- Clinical Psychologist
- Huntington, NY
National Provider Identifier
1811263429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 006644
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811263429 | Other | NY | MEDICARE NPI |
| A100066565 | Other | NY | MEDICARE P-TAN |
Other names 1
- TERRAP ANXIETY AND PHOBIACARE
National Provider Directory
National Provider DirectoryLocations
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.