1871686543 NPI number — SAUL NEIL LIEBERMAN PH.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871686543 NPI number — SAUL NEIL LIEBERMAN PH.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

LIEBERMAN

Provider First Name:

SAUL

Provider Middle Name:

NEIL

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

PH.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1871686543

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/11/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

9225 LONGBRANCH PARKWAY

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

SILVER SPRING

Provider Business Mailing Address State Name:

MD

Provider Business Mailing Address Postal Code:

20901

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

301-439-7507

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

10630 LITTLE PATUXENT PKWY

Provider Second Line Business Practice Location Address:

STE 212

Provider Business Practice Location Address City Name:

COLUMBIA

Provider Business Practice Location Address State Name:

MD

Provider Business Practice Location Address Postal Code:

21044-3264

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

410-740-0333

Provider Business Practice Location Address Fax Number:

410-740-0332

Provider Enumeration Date:

10/02/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 103T00000X , with the licence number:  01696 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 103TB0200X , with the licence number: 01696 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 103TC0700X , with the licence number: 01696 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 103TC2200X , with the licence number: 01696 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 103TM1800X , with the licence number: 01696 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 45614 . This is a "MDIPA - COLUMBIA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 40157202 . This is a "CAREFIRST MD - COLUMBIA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 35614 . This is a "MAMSI ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 36140002 . This is a "CAREFIRST BC - COLUMBIA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 36230001 . This is a "CAREFIRST DC PLAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".