Daniel Jose Gaztambide, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021687 Issued in NY

Practice address

411 W 114TH St RM 6C-02
New York, NY 10025-1710

Phone

(212) 523-7665

NPI assigned

Jul 11, 2016

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1104278423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 W 140TH ST APT 25",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317109",
            "telephone_number": "407-864-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 114TH ST RM 6C-02",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251710",
            "telephone_number": "212-523-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZTAMBIDE",
        "first_name": "DANIEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Richard Gazaleh, D.C.
• Rita Mae Gazarik, LCSWR
• Marina Gazayeva, MS, FNP-BC
• Adam T. Gazdzinski, DPT, ECS, OCS
• Sneha Gazi, PT, DPT
• Pedro Gaztanaga
• Veronika Gazyants, NP
• Gabrielle Laren Marie Gazzola, P.A.
• Marina Gaeta Gazzola, MD
• GB Acupuncture P.C. (Yuan's Acupuncture)

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Jul 11, 2016; 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.