Active NPI
Erica Liebman, PSYD
- Psychologist
- Philadelphia, PA
National Provider Identifier
1851171565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS019953
- Practice address
- 1528 Walnut St Ste 1414
Philadelphia, PA 19102-3610 - Phone
- (610) 256-4768
- NPI assigned
- Oct 2, 2023
- Last updated
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS019953 | PA | Primary |
Addresses
Primary practice location
1528 Walnut St Ste 1414
Philadelphia, PA 19102-3610
Mailing address
2100 Walnut St Apt 13G
Philadelphia, PA 19103-4893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 3, 2024 through Oct 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019953 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1851171565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WALNUT ST APT 13G",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 WALNUT ST STE 1414",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023610",
"telephone_number": "610-256-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBMAN",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS019953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.