Individual provider Active NPI

Gabriella Harrison, PSY.D.

  • Clinical Psychologist
  • Garden City, NY
National Provider Identifier
1043767809
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013421 Issued in NY
Practice address
601 Franklin Ave Ste 120
Garden City, NY 11530-5760
Phone
(516) 280-9030
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 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 013421 NY Primary

Addresses

Primary practice location

601 Franklin Ave Ste 120
Garden City, NY 11530-5760

Mailing address

601 Franklin Ave Ste 120
Garden City, NY 11530-5760
Phone (516) 280-9030

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
I20170119000657 NY Practitioner - Clinical Psychologist 7517249980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nassau Psychiatric Services PCGroup PAC ID 4385930825, 5 clinicians

Practice addresses (Care Compare)

626 RXR PLZ
Uniondale, NY 11556-3829
Phone (516) 280-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013421NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Psychiatric Services, P.C. CurrentSince Nov 30, 2016 Accepting new patients
Continental Psychiatric Services, PLLC Past Accepting new patients

Locations

601 Franklin Ave
Ste 120
Garden City, NY 11530
Phone (516) 280-9030

626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030

Organizations & group practices 2

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1043767809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 120",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-280-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 120",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-280-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "GABRIELLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.