NPIMap

Organization Active NPI

Gabrielle Dicanio-Kirby

  • Early Intervention Provider Agency
  • Cold Spring Harbor, NY
National Provider Identifier
1063751691
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
68 016934 Issued in NY
Legal business name
GABRIELLE DICANIO-KIRBY
Practice address
15 Pegs LN
Cold Spring Harbor, NY 11724-2414
Phone
(516) 319-0576
NPI assigned
Feb 1, 2013
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Dr. Gabrielle Dicanio, PSY.D.NPI 1598984932
Title
School Psychologist
Phone
(516) 319-0576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 68 016934 NY Primary
Local Education Agency (LEA) 251300000X NY

Addresses

Primary practice location

15 Pegs LN
Cold Spring Harbor, NY 11724-2414

Mailing address

15 Pegs LN
Cold Spring Harbor, NY 11724-2414
Phone (516) 319-0576

Other names 1

  • Gabrielle Dicanio Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1063751691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PEGS LN",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117242414",
            "telephone_number": "516-319-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PEGS LN",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117242414",
            "telephone_number": "516-319-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE DICANIO-KIRBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "DICANIO",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "15163190576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "68 016934",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabrielle Dicanio",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cold Spring Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.