Mikayla Kesten Girellli, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

68-P125618-01 Issued in NY

Practice address

408 Mamaroneck Ave
Mamaroneck, NY 10543-2613

Phone

(917) 410-0282

NPI assigned

Oct 27, 2023

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

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.

• Impact Psychological Services PLLC

  • Community/Behavioral Health Agency
  • Beacon, NY
  • NPI 1538837414
  NPD (past)

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1053183582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432613",
            "telephone_number": "917-410-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432613",
            "telephone_number": "917-410-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRELLLI",
        "first_name": "MIKAYLA",
        "middle_name": "KESTEN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68-P125618-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Geraghty
• Jayleen Geronimo
• Nicole Gherardi, PT
• Shahin Ghobadi, D.M.D
• Jessica Michelle Giordano
• Jason Daniel Gironda
• GKDC Inc.
• Lenore Z. Gladstone, M.D.
• Elissa B. Glickman, MS, LMFT
• Shoshana Gliksman, M.S.ED, BCBA

• Clinical Psychologist in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.