Lisa Deritis Ganz

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2854054 Issued in NY

Practice address

1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156

Phone

(516) 806-6969

NPI assigned

Nov 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kidz Psychological Services PLLC

  • Clinical Psychologist
  • Garden City, NY
  • NPI 1487326716
  NPD
• Family of Kidz

  • Specialist
  • Westbury, NY
  • NPI 1760313282
  NPD (past)

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1033876016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ASHLAND AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403957",
            "telephone_number": "607-727-9130"
        },
        {
            "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": "516-806-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZ",
        "first_name": "LISA",
        "middle_name": "DERITIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2854054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.ganz@familyofkidz.com",
            "affiliation": "N",
            "address_1": "1400 Old Country Rd Ste C103N",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115905156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gambella/Napoli Dental PLLC
• Kara Gambino
• Halina Gameklu
• Rebecca Gamey
• Ganz & Grossman, DDS, PC.
• Gaelle Garat
• Estefania Garcia Rios, OTA/S
• Amanda Garcia-Gotay, PSY.D.
• Nicole Garcia-Pulaski, L.AC., M.S., DIPL.AC
• Pedro Luis Garcia

• School Psychologist in Westbury, NY
• Providers in Westbury, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.