Madeline Nomberg, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016336 Issued in NY

Practice address

103 E 86TH St
2D
New York, NY 10028-1058

Phone

(212) 410-6991

Fax

(212) 831-0660

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1912008160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 86TH ST",
            "address_2": "2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281058",
            "telephone_number": "212-410-6991",
            "fax_number": "212-831-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 86TH ST",
            "address_2": "2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281058",
            "telephone_number": "212-410-6991",
            "fax_number": "212-831-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMBERG",
        "first_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016336",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "103TC0700X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7350619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nomad Integrative Health Acupuncture & Massage Therapy, PLLC
• Nomad Medical PLLC
• Nomad Medical Services PC
• Mark Nomadiou
• Sarah Noman, DO
• Hussuhan Nombre
• Megha Nomula
• Stephanie Nonaillada
• Daisuke Nonaka, M.D.
• Cathy Nonas, RDCDE

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.