Active NPI
Marc Giandenoto
- School Psychologist
- Rolesville, NC
National Provider Identifier
1023448776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2134
- Practice address
- 406 Big Willow Way
Rolesville, NC 27571-9329 - Phone
- (919) 633-1196
- NPI assigned
- Nov 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2134 | NC | Primary |
Addresses
Primary practice location
406 Big Willow Way
Rolesville, NC 27571-9329
Mailing address
406 Big Willow Way
Rolesville, NC 27571-9329
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384560000000",
"number": "1023448776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 BIG WILLOW WAY",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275719329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 BIG WILLOW WAY",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275719329",
"telephone_number": "919-633-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANDENOTO",
"first_name": "MARC",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-16",
"last_updated": "2013-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "2134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.