Active NPI
Marymilt Restituyo
- Psychologist
- Westbury, NY
National Provider Identifier
1013462159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2972255
- Practice address
- 1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156 - Phone
- (516) 806-5710
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2972255 | NY | Primary |
Addresses
Primary practice location
1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156
Mailing address
1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2972255 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1013462159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 OLD COUNTRY RD STE C103N",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 OLD COUNTRY RD STE C103N",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905156",
"telephone_number": "516-806-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTITUYO",
"first_name": "MARYMILT",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "2972255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.