Active NPI
Jacqueline Garziano, PSY.D.
- School Psychologist
- North Bellmore, NY
National Provider Identifier
1104162650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 2351 Jerusalem Ave
North Bellmore, NY 11710-1822 - Phone
- (516) 608-6300
- Fax
- (516) 608-6314
- NPI assigned
- Jan 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NY | Primary | |
| Clinical Psychologist | 103TC0700X | 019951 | NY |
Addresses
Primary practice location
2351 Jerusalem Ave
North Bellmore, NY 11710-1822
Mailing address
2351 Jerusalem Ave
North Bellmore, NY 11710-1822
Phone (516) 608-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019951 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1104162650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 JERUSALEM AVE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101822",
"telephone_number": "516-608-6300",
"fax_number": "516-608-6314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 JERUSALEM AVE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101822",
"telephone_number": "516-608-6300",
"fax_number": "516-608-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZIANO",
"first_name": "JACQUELINE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-02",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "019951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.