Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609086594 Deactivated / Inactive NPI Male Practitioner

Dr. Jon A. Lieberman , PhD

Psychologist • Hampton Bays, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jon Lieberman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2007
NPI Deactivation Date July 10, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Lieberman, PhD was a registered Psychologist practicing in Hampton Bays, NY. Throughout an active medical career spanning 18 years, Dr. Lieberman provided care at the practice location at 37 HUBBARD LN until profile deactivation on 2025-07-10.

Practice Location & Contact Primary Location

Practice Address

37 Hubbard Ln

Hampton Bays, NY 119463506

Telephone 6317283650
Fax 6317283650

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Hampton Bays, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 54.0 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Hampton Bays, NY (5379 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY 006027

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 10, 2025

Record deactivated on July 10, 2025

NPI Profile Active July 26, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 26, 2007

Registered at 37 HUBBARD LN, HAMPTON BAYS, NY 119463506 (Tel: 6317283650)

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Updated Business Mailing Address July 26, 2007

Registered at 37 HUBBARD LN, HAMPTON BAYS, NY 119463506 (Tel: 6317283650)

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Provider Name / Credentials Updated July 26, 2007

Recorded as JON LIEBERMAN, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2007

Psychologist (License #006027 in NY)

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Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609086594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 26, 2007
Deactivation Date: July 10, 2025

Mailing Address

37 Hubbard Ln

Hampton Bays, NY 119463506

Phone: 6317283650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.