Julie Ann Ackerman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022884 Issued in NY

Practice address

1751 2ND Ave Ste Az-5
New York, NY 10128-5363

Phone

(917) 361-6973

NPI assigned

Sep 24, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1811471972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 2ND AVE STE AZ-5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285363",
            "telephone_number": "917-361-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 2ND AVE STE AZ-5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285363",
            "telephone_number": "917-361-6973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Broadway Ste 3111",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100073060",
            "country_code": "US",
            "telephone_number": "845-781-0323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Park Ave",
            "address_2": "8th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165802",
            "country_code": "US",
            "telephone_number": "646-754-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE IN CLINICAL PSYCHOLOGY",
            "identifier": "022884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellissa M Ackerman
• Elyssa Ackerman, LCSW
• Emily Paige Ackerman
• Jennie Ackerman, LCSW
• Jon F. Ackerman, D.D.S.
• Lynn M. Ackerman, M.D.
• Marra Gillian Ackerman, MD
• Michael Ackerman, LMSW
• Saul Ackerman, L.AC., MSTOM
• Sayde Ackerman

• 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 15, 2021; 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.