DR. ERICA RUDD GOTTLIEB PHD
NPI 1548783079
Psychologist in New York, NY

Active since July 17, 2017PECOS Enrolled
3959 BROADWAY FL NORTH6, NEW YORK, NY 10032(212) 305-6001 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Erica Rudd Gottlieb Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERICA RUDD GOTTLIEB PHD (NPI 1548783079) is an individual psychologist in New York, New York, licensed in New York (022164) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548783079
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ERICA RUDD GOTTLIEBCredential: PHD
Location Address3959 BROADWAY FL NORTH6New York, NY 10032-1559
Mailing Address101 W 12th St Apt 3gNew York, NY 10011-8103 · (347) 423-9670
Sole ProprietorNo
Enumeration DateJuly 17, 2017
NPI 1548783079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 022164
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3959 BROADWAY FL NORTH6, New York, NY 10032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Erica Rudd Gottlieb Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical Child & Adolescent)
3959 BROADWAY FL NORTH6
NEW YORK, NY 10032
Psychologist
3959 BROADWAY FL NORTH6
NEW YORK, NY 10032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Gottlieb's NPI number?

The NPI number for Erica Gottlieb is 1548783079. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Erica Gottlieb located?

Erica Gottlieb practices at 3959 Broadway Fl North6, New York, NY 10032. The listed phone number is (212) 305-6001.

What is Erica Gottlieb's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Erica Gottlieb enrolled in Medicare?

Yes. Erica Gottlieb is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erica Gottlieb was last updated on July 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.