Active NPI
Margery Ruth Auerbach, PH.D.
- Clinical Psychologist
- Bay Shore, NY
National Provider Identifier
1902901341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 013027-1
- Practice address
- 160 Howells Road
Suite 2
Bay Shore, NY 11706 - Phone
- (631) 647-7885
- Fax
- (631) 647-7893
- NPI assigned
- Sep 13, 2006
- 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 | 013027-1 | NY | Primary |
Addresses
Primary practice location
160 Howells Road
Suite 2
Bay Shore, NY 11706
Mailing address
PO Box 208
Cutchogue, NY 11935-0208
Phone (516) 527-2710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01767757 | Medicaid | NY | |
| S13027-8 | Other | NY | WORKERS COMPENSATION |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013027-1 | NY | MD | Early Intervention Provider Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Occupational Therapy & Social Work Group, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Bay Shore, NY
- NPI 1154384287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1902901341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "CUTCHOGUE",
"state": "NY",
"postal_code": "119350208",
"telephone_number": "516-527-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 HOWELLS ROAD",
"address_2": "SUITE 2",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-647-7885",
"fax_number": "631-647-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUERBACH",
"first_name": "MARGERY",
"middle_name": "RUTH",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "013027-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01767757",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "S13027-8",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.