Active NPI
Kimberly Reyes-Giordano, PHD, BCBA-D, LBA
- Psychologist
- Brooklyn, NY
National Provider Identifier
1013456250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 024395
- Practice address
- 205 15TH St
Apt A1
Brooklyn, NY 11215-4865 - Phone
- (917) 843-3619
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 000604-1 | NY | |
| Psychologist | 103T00000X | 024395 | NY | Primary |
Addresses
Primary practice location
205 15TH St
Apt A1
Brooklyn, NY 11215-4865
Mailing address
205 15TH St
Apt A1
Brooklyn, NY 11215-4865
Phone (917) 843-3619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000604-1 | NY | MD | Behavioral Analyst |
| 024395 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1013456250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 15TH ST",
"address_2": "APT A1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154865",
"telephone_number": "917-843-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 15TH ST",
"address_2": "APT A1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154865",
"telephone_number": "917-843-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES-GIORDANO",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PHD, BCBA-D, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000604-1",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "024395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.