Individual provider Active NPI

Barry S. Lieberman, M.D

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1831108117
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A22616 Issued in CA
Practice address
7862 Woodrow Wilson Dr
Los Angeles, CA 90046-1256
Phone
(310) 274-2284
NPI assigned
Aug 5, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A22616 CA Primary

Addresses

Primary practice location

7862 Woodrow Wilson Dr
Los Angeles, CA 90046-1256

Mailing address

7862 Woodrow Wilson Dr
Los Angeles, CA 90046-1256
Phone (310) 274-2284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000237 CA Practitioner - Psychiatry 3375737299 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Francisco School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7862 Woodrow Wilson Dr
Los Angeles, CA 90046-1256
Phone (310) 274-2284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A22616CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1831108117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 WOODROW WILSON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461256",
            "telephone_number": "310-274-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 WOODROW WILSON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461256",
            "telephone_number": "310-274-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "BARRY",
        "middle_name": "S.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A22616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.