Active NPI
Jamie Graziano, PSY.D.
- Psychologist
- Saddle Brook, NJ
National Provider Identifier
1104479344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00613000
- Practice address
- 300 Market St
Saddle Brook, NJ 07663-5309 - Phone
- (201) 368-6260
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 023115 | NY | |
| Psychologist | 103T00000X | 35SI00613000 | NJ | Primary |
Addresses
Primary practice location
300 Market St
Saddle Brook, NJ 07663-5309
Mailing address
12 Nardiello Dr
Garnerville, NY 10923-1738
Phone (845) 304-7252
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00613000 | NJ | MD | Psychologist |
| 023115 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1104479344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 NARDIELLO DR",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "109231738",
"telephone_number": "845-304-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MARKET ST",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076635309",
"telephone_number": "201-368-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIANO",
"first_name": "JAMIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "023115",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00613000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saddle Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.