Provider Demographics
NPI:1265639926
Name:USLIANER, BARRY MARK (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:MARK
Last Name:USLIANER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SANDLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-3346
Mailing Address - Country:US
Mailing Address - Phone:914-715-7032
Mailing Address - Fax:203-244-5394
Practice Address - Street 1:11 MARSHALL RD
Practice Address - Street 2:C/O NORTHERN PSYCHIATRIC SERVICES
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4132
Practice Address - Country:US
Practice Address - Phone:914-715-7032
Practice Address - Fax:203-244-5394
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010998103G00000X, 103T00000X, 103TA0400X, 103TF0200X
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS-010998-38OtherWORKER'S COMPENSATION
NY01331671Medicaid