Active NPI
Diane Sperber, LCSW
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1972650596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PR-018676-1
- Practice address
- 209 Lincoln PL
Brooklyn, NY 11217-3745 - Phone
- (718) 638-0456
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PR-018676-1 | NY | Primary |
Addresses
Primary practice location
209 Lincoln PL
Brooklyn, NY 11217-3745
Mailing address
209 Lincoln PL
Brooklyn, NY 11217-3745
Phone (718) 638-0456
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02383984 | Medicaid | NY | |
| KS288 | Other | NY | OXFORD HEALTH PLAN |
| 0062676 | Other | NM | GHI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR-018676-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972650596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 LINCOLN PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173745",
"telephone_number": "718-638-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 LINCOLN PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173745",
"telephone_number": "718-638-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERBER",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "PR-018676-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02383984",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "KS288",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0062676",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.