AUBREY LIEBERMAN MD PC (NPI# 1003902958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003902958 |
| Entity Type | Organization |
| Organization Name | AUBREY LIEBERMAN MD PC |
| Practice Address |
1342 Belmont St Suite 105 Brockton MA 02301-4436 |
| Practice Telephone | 5085803330 |
| Practice Fax Number | 5085808633 |
| Mailing Telephone | 5085803330 |
| Mailing Fax Number | 5085808633 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AUBREY LIEBERMAN (PRESIDENT) |
| Authorized Official Telephone | 5085803330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
37675 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 687404 | 01 |
| MA | BLUE CROSS BLUE SHIELD | M17612 | 01 |
| MA | 9701273 | 05 |
| Street Address |
1342 BELMONT ST SUITE 105 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700873999 | Lyudmila Rakita | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2005-10-03 |
| 1437666799 | Maureen E. Dimilla | Counselor | 1342 Belmont St, Brockton, MA 02301-4436 | 2018-01-08 |
| 1336692870 | Kayla Pavao | Nurse Practitioner | 1342 Belmont St, Brockton, MA 02301-4436 | 2016-08-02 |
| 1225409253 | Amy Goffredo LLC | Social Worker | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2015-10-16 |
| 1639515968 | Jennifer Lynn Ulicny | Nurse Anesthetist, Certified Registered | 1342 Belmont St, Brockton, MA 02301-4436 | 2013-05-14 |
| 1588837553 | Lyudmila Rakita M.d.,p.c. | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2008-04-10 |
| 1013054998 | Karen Hetzel | Clinical Nurse Specialist | 1342 Belmont St, Suite 101, Brockton, MA 02301-4437 | 2007-01-31 |
| 1154498764 | June Louise Chin | Social Worker | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2006-11-29 |
| 1609962976 | Stephen Gerald Rudin | Psychologist | 1342 Belmont St, Suite 204, Brockton, MA 02301-4436 | 2006-10-05 |
| 1750477618 | Aubrey Lieberman | Psychiatry & Neurology | 1342 Belmont St, Suite 105, Brockton, MA 02301-4436 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871539270 | James Joseph Gilbert | Psychiatry & Neurology | 29 Libby St, Brockton, MA 02302-2949 | 2006-06-22 |
| 1164502399 | Albert A. Ackil, M.d., Inc. | Psychiatry & Neurology | 830 Oak St, Brockton, MA 02301-1168 | 2006-10-16 |
| 1750477618 | Aubrey Lieberman | Psychiatry & Neurology | 1342 Belmont St, Suite 105, Brockton, MA 02301-4436 | 2006-10-05 |
| 1932209756 | Grace Johannette Mushrush | Psychiatry & Neurology | 940 Belmont St, Brockton, MA 02301-5596 | 2006-09-22 |
| 1740265354 | May C Louie | Psychiatry & Neurology | 110 Liberty Street, Brockton, MA 02301-5521 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344555 | Rosalind Mandelbaum | Psychiatry & Neurology | 45 Resnik Rd Ste 205, Plymouth, MA 02360-7223 | 2018-11-08 |
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1336668326 | Western Mass Neurology PC | Psychiatry & Neurology | 175 Carew St Ste 140, Springfield, MA 01104-2389 | 2017-09-12 |
| 1417475336 | Hampshire Neurology LLC | Psychiatry & Neurology | 234 Russell St Ste 206, Hadley, MA 01035-3534 | 2017-08-30 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1821538497 | Santiago Arroyo | Psychiatry & Neurology | 28 Constitution Rd, Charlestown, MA 02129-2008 | 2017-03-02 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1871975144 | Yadira Flores Montanez | Psychiatry & Neurology | 1 Brookline Pl Ste 406, Brookline, MA 02445-7296 | 2015-06-23 |
| 1104207901 | Aditi Ahlawat | Psychiatry & Neurology | 1280 W Central St Ste 102, Franklin, MA 02038-3110 | 2015-06-17 |
| 1558755835 | Grigoriy I Labun | Psychiatry & Neurology | 23 Peach Tree Ln, Newton, MA 02459-3123 | 2015-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.