Individual provider Active NPI

Gaiane Kazariants, PH. D.

  • Clinical Psychologist
  • 5TH Floor, Suite 13, NY
National Provider Identifier
1124463492
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019918 Issued in NY
Practice address
317 East 17TH Street
Beth Israel Medical Center
5TH Floor, Suite 13, NY 10003
Phone
(212) 844-1742
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019918 NY Primary

Addresses

Primary practice location

317 East 17TH Street
Beth Israel Medical Center
5TH Floor, Suite 13, NY 10003

Mailing address

317 E 17TH St
5TH Floor, Suite 13
New York, NY 10003-3804
Phone (212) 844-1742

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Family Center for Bipolar Disorder at Beth Israel Medical Center Clinical Past Accepting new patients
Bimc FPP- Family Center for Bipolar Disorder Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1124463492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E 17TH ST",
            "address_2": "5TH FLOOR, SUITE 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033804",
            "telephone_number": "212-844-1742",
            "fax_number": "212-420-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 EAST 17TH STREET",
            "address_2": "BETH ISRAEL MEDICAL CENTER",
            "city": "5TH FLOOR, SUITE 13",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-844-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZARIANTS",
        "first_name": "GAIANE",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.