Individual provider Active NPI

Warren Louis Huberman, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1982748380
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012385 Issued in NY
Practice address
20 E 49TH St FL 2
New York, NY 10017
Phone
(212) 983-6225
NPI assigned
Feb 18, 2007
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 012385 NY Primary

Addresses

Primary practice location

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

Mailing address

42 Woodhaven Dr
New City, NY 10956-4437
Phone (845) 634-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721001036 NY Practitioner - Clinical Psychologist 0547297426 Reassigns benefits to 1 organization
Practice locations: New City, NY; Pomona, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

42 Woodhaven Dr
New City, NY 10956-4437
Phone (212) 983-6225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012385NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Warren L Huberman PHD Psychologist PLLC CurrentSince Aug 17, 2018 Accepting new patients
New York University Medical Center PastSince May 1, 2012 Accepting new patients
New York University Past Accepting new patients
New York University Medical Center Past Accepting new patients
Cognitive-Behavioral Psychologists, PLLC Clinical Past Accepting new patients

Locations

20 E 49th St
Fl 2
New York, NY 10017
Phone (212) 692-9288

11 Medical Park Dr
Ste 202
Pomona, NY 10970
Phone (845) 354-5400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1982748380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WOODHAVEN DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564437",
            "telephone_number": "845-634-2240"
        },
        {
            "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": "10017",
            "telephone_number": "212-983-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERMAN",
        "first_name": "WARREN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.