Individual provider Active NPI

James Gries, PSY.D.

  • Clinical Psychologist
  • Roslyn Heights, NY
National Provider Identifier
1033166434
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015725-1 Issued in NY
Practice address
33 South St
Roslyn Heights, NY 11577-1714
Phone
(516) 669-0273
Fax
(516) 385-1573
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015725-1 NY Primary

Addresses

Primary practice location

33 South St
Roslyn Heights, NY 11577-1714

Mailing address

475 Macatee PL
Mineola, NY 11501-1327
Phone (917) 698-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000526 NY Practitioner - Clinical Psychologist 6103890538 Practice locations: Mineola, NY; Far Rockaway, NY; Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015725-1NYMDClinical Psychologist
015725NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1033166434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MACATEE PL",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011327",
            "telephone_number": "917-698-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SOUTH ST",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771714",
            "telephone_number": "516-669-0273",
            "fax_number": "516-385-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIES",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015725-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.