Organization Active NPI

Warren L Huberman PHD Psychologist PLLC

  • Psychologist
  • New York, NY
National Provider Identifier
1972084028
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012385 Issued in NY
Legal business name
WARREN L HUBERMAN PHD PSYCHOLOGIST PLLC
Practice address
20 E 49TH St FL 2
New York, NY 10017-1080
Phone
(212) 983-6225
NPI assigned
Aug 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Dr. Warren L Huberman, PHDNPI 1982748380
Title
Psychologist
Phone
(212) 983-6225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 012385 NY Primary

Addresses

Primary practice location

20 E 49TH St FL 2
New York, NY 10017-1080

Mailing address

20 E 49TH St FL 2
New York, NY 10017-1080
Phone (212) 983-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181105001488 NY Part B Supplier - Clinic/Group Practice 3375896582 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY; Pomona, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1972084028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 49TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171080",
            "telephone_number": "212-983-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 49TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171080",
            "telephone_number": "212-983-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN L HUBERMAN PHD PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "HUBERMAN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "212-983-6225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.