1891507539 NPI number — TZIPORAH HERMAN SCHOOL PSYCHOLGIST

Table of content: TZIPORAH HERMAN SCHOOL PSYCHOLGIST (NPI 1891507539)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891507539 NPI number — TZIPORAH HERMAN SCHOOL PSYCHOLGIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERMAN
Provider First Name:
TZIPORAH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
SCHOOL PSYCHOLGIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HERMAN
Provider Other First Name:
TZIPPY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
SCHOOL PSYCHOLOGIST
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1891507539
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
182 GRANDVIEW AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONSEY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10952-1422
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
182 GRANDVIEW AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONSEY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10952-1422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-614-0519
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/21/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TS0200X , with the licence number:  285387 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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