Lewis R. Lieberman, Incorporated

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

205 Issued in GA

Legal business name

LEWIS R. LIEBERMAN, INCORPORATED

Practice address

1501 13TH St
Suite J
Columbus, GA 31901-2383

Phone

(706) 315-1862

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Lewis Robert Lieberman, PH. D.NPI 1861530263

Title

Secretary/Treasurer

Phone

(706) 561-4625

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lewis R. Lieberman, PH. D.

  • Clinical Psychologist
  • Columbus, GA
  • NPI 1861530263
  NPD (past) Authorized official

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1831426162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHERBORNE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094740",
            "telephone_number": "706-561-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 13TH ST",
            "address_2": "SUITE J",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012383",
            "telephone_number": "706-315-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS R. LIEBERMAN, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "706-561-4625",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052401B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Leverette
• Mary Nell Leverette
• Jonathan Charles Levin, DO
• David H Levine, MD
• Laura A Levy, MD
• Angel Amorette Lewis
• Annie Mae Lewis, APRN, RN, COSM
• Demetrius Vinde Lewis
• Eugenia Lewis, MS, LPC
• Gregory Lewis

• Clinical Psychologist in Columbus, GA
• Providers in Columbus, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.