Dr Denise Granda-Gilbert Clinical Psychologist, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7280 Issued in NY

Legal business name

DR DENISE GRANDA-GILBERT CLINICAL PSYCHOLOGIST, P.C.

Practice address

6 Station Square
Office on Street Level
Forest Hills, NY 11375-5234

Phone

(718) 268-8081

Fax

(718) 268-2281

NPI assigned

Jul 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Denise Granda-Gilbert, PH.D.

Title

President

Phone

(718) 268-8081

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1013229079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STATION SQUARE",
            "address_2": "OFFICE ON STREET LEVEL",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755234",
            "telephone_number": "718-268-8081",
            "fax_number": "718-268-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STATION SQUARE",
            "address_2": "OFFICE ON STREET LEVEL",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755234",
            "telephone_number": "718-268-8081",
            "fax_number": "718-268-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENISE GRANDA-GILBERT CLINICAL PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "GRANDA-GILBERT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-268-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "7280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01527191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.