Active NPI
David Lerman, PSY.D
- Psychologist
- Staten Island, NY
National Provider Identifier
1922391333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017121-1
- Practice address
- 27 Washington Ave
Staten Island, NY 10314-5042 - Phone
- (917) 783-5378
- Fax
- (718) 761-3156
- NPI assigned
- May 17, 2011
- Last updated
- May 17, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017121-1 | NY | Primary |
Addresses
Primary practice location
27 Washington Ave
Staten Island, NY 10314-5042
Mailing address
64 Boone St
Staten Island, NY 10314-5004
Phone (917) 783-5378
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017121-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1922391333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BOONE ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145004",
"telephone_number": "917-783-5378",
"fax_number": "718-761-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 WASHINGTON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145042",
"telephone_number": "917-783-5378",
"fax_number": "718-761-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERMAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017121-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.