Organization Active NPI

Judith S. Geizhals, PH.D.,P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Washington, NY
National Provider Identifier
1114233483
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
006961-1 Issued in NY
Legal business name
JUDITH S. GEIZHALS, PH.D.,P.C.
Practice address
114 Middle Neck Rd
Port Washington, NY 11050-1933
Phone
(516) 883-6282
Fax
(516) 883-6282
NPI assigned
Aug 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Dr. Judith S Geizhals, PH.D.NPI 1295067544
Title
Clinical Psychologist
Phone
(516) 883-6282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 006961-1 NY Primary

Addresses

Primary practice location

114 Middle Neck Rd
Port Washington, NY 11050-1933

Mailing address

114 Middle Neck Rd
Port Washington, NY 11050-1933
Phone (516) 883-6282

National Provider Directory

National Provider Directory
Tax ID family
Dr Judith Susan Geizhals PHD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1114233483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MIDDLE NECK RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501933",
            "telephone_number": "516-883-6282",
            "fax_number": "516-883-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MIDDLE NECK RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501933",
            "telephone_number": "516-883-6282",
            "fax_number": "516-883-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH S. GEIZHALS, PH.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "GEIZHALS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-883-6282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "006961-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.