Active NPI
Silvia B Birklein, PH.D., MA, LCAT, CMA
- Clinical Psychologist
- New York, NY
National Provider Identifier
1972794527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017252
- Practice address
- 920 Broadway
FL 8, #12
New York, NY 10010-6004 - Phone
- (917) 496-5772
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017252 | NY | Primary |
Addresses
Primary practice location
920 Broadway
FL 8, #12
New York, NY 10010-6004
Mailing address
920 Broadway
FL 8, #12
New York, NY 10010-6004
Phone (917) 496-5772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 10, 2020 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Medical Assistant, Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017252 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1972794527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 BROADWAY",
"address_2": "FL 8, #12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106004",
"telephone_number": "917-496-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 BROADWAY",
"address_2": "FL 8, #12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106004",
"telephone_number": "917-496-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKLEIN",
"first_name": "SILVIA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D., MA, LCAT, CMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017252",
"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 Oct 18, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.