Active NPI
Anastasia Liefshitz, PSYD.
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1841589918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 102858
- Practice address
- 664 Thwaites PL
Apt 1G
Bronx, NY 10467-7922 - Phone
- (718) 515-3389
- Fax
- (718) 515-3389
- NPI assigned
- Mar 29, 2011
- Last updated
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 102858 | NY | Primary |
Addresses
Primary practice location
664 Thwaites PL
Apt 1G
Bronx, NY 10467-7922
Mailing address
664 Thwaites PL
Apt. 1G
Bronx, NY 10467-7922
Phone (718) 515-3389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102858 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1841589918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 THWAITES PL",
"address_2": "APT. 1G",
"city": "BRONX",
"state": "NY",
"postal_code": "104677922",
"telephone_number": "718-515-3389",
"fax_number": "718-515-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 THWAITES PL",
"address_2": "APT 1G",
"city": "BRONX",
"state": "NY",
"postal_code": "104677922",
"telephone_number": "718-515-3389",
"fax_number": "718-515-3389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEFSHITZ",
"first_name": "ANASTASIA",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "102858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.