Individual provider Active NPI

Daniel Arthur Gensler, PHD

  • Clinical Psychologist
  • Great Neck, NY
National Provider Identifier
1093805376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006962-1 Issued in NY
Practice address
20 Canterbury Rd
Great Neck, NY 11021-2122
Phone
(516) 773-4504
NPI assigned
Oct 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 006962-1 NY Primary

Addresses

Primary practice location

20 Canterbury Rd
Great Neck, NY 11021-2122

Mailing address

85 Campbell St
New Hyde Park, NY 11040-1758
Phone (516) 326-2864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 3, 2023 through Jul 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
006962-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jospeh W Newirth PHD PC Psychologist Clinical 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": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093805376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CAMPBELL ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401758",
            "telephone_number": "516-326-2864",
            "fax_number": "516-358-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CANTERBURY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212122",
            "telephone_number": "516-773-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSLER",
        "first_name": "DANIEL",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006962-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.