Howard Paul Gottlieb, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

124704-1 Issued in NY

Practice address

185 Fair St
Kingston, NY 12401-0502

Phone

(845) 883-8989

NPI assigned

Dec 1, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841368693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 PEARL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016161",
            "telephone_number": "845-519-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FAIR ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124010502",
            "telephone_number": "845-883-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "HOWARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "124704-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00276444",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE PHYSICIAN LICENS",
            "identifier": "124704-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Gordon-Brown, LCSW
• Jillian Arrosa Gordon, LCSW
• Odell Delroy Gordon, NP
• Bradley L Gorfein, LMSW
• Vincent D Gorman
• Barbara Sue Graff, LCSW-R
• Hannah Rose Grajko, LMSW
• Grand Street Gastroenterology, Inc.
• Louis T Granirer, D.C.
• John H. Grant, LCSW-R

• Child & Adolescent Psychiatry Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.