Individual provider Active NPI

Kelly Ann Garbinsky

  • Mental Health Counselor
  • Briarcliff Manor, NY
National Provider Identifier
1104477470
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008341 Issued in NY
Practice address
1133 Pleasantville Rd
Briarcliff Manor, NY 10510-1634
Phone
(914) 262-9898
Fax
(914) 502-0555
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008341 NY Primary

Addresses

Primary practice location

1133 Pleasantville Rd
Briarcliff Manor, NY 10510-1634

Mailing address

14 Dakota St
Palisades, NY 10964-1400
Phone (845) 558-5845

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

LicenseStateTypeSpecialty
008341NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1104477470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DAKOTA ST",
            "city": "PALISADES",
            "state": "NY",
            "postal_code": "109641400",
            "telephone_number": "845-558-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 PLEASANTVILLE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101634",
            "telephone_number": "914-262-9898",
            "fax_number": "914-502-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBINSKY",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.