Individual provider Active NPI

Lana Tiersky, PH.D.

  • Psychologist
  • Ramsey, NJ
National Provider Identifier
1952776239
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3672 Issued in NJ
Practice address
17 S Franklin Tpke Ste 2
Ramsey, NJ 07446-2536
Phone
(201) 574-7205
Fax
(201) 692-2304
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012983 NY
Psychologist 103T00000X 3672 NJ Primary

Addresses

Primary practice location

17 S Franklin Tpke Ste 2
Ramsey, NJ 07446-2536

Mailing address

17 S Franklin Tpke Ste 2
Ramsey, NJ 07446-2536
Phone (201) 574-7205

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

LicenseStateTypeSpecialty
3672NJMDPsychologist
012983NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1952776239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S FRANKLIN TPKE STE 2",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462536",
            "telephone_number": "201-574-7205",
            "fax_number": "201-692-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S FRANKLIN TPKE STE 2",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462536",
            "telephone_number": "201-574-7205",
            "fax_number": "201-692-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERSKY",
        "first_name": "LANA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012983",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.