Individual provider Active NPI

Matthew Giardini, LMFT

  • Marriage & Family Therapist
  • Sayville, NY
National Provider Identifier
1134513674
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001179-1 Issued in NY
Practice address
79 Foster Ave
Sayville, NY 11782-3127
Phone
(631) 507-2377
NPI assigned
Mar 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001179-1 NY Primary

Addresses

Primary practice location

79 Foster Ave
Sayville, NY 11782-3127

Mailing address

79 Foster Ave
Sayville, NY 11782-3127
Phone (631) 312-6361

Other practice location 1

22 Railroad Ave
Sayville, NY 11782-2795
Phone (631) 312-6361

Other practice location 2

49 5th Ave
Brooklyn, NY 11217-2043
Phone (631) 507-2377

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
001179-1NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1134513674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 FOSTER AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823127",
            "telephone_number": "631-312-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 FOSTER AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823127",
            "telephone_number": "631-507-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Sayville",
            "state": "NY",
            "postal_code": "117822795",
            "country_code": "US",
            "telephone_number": "631-312-6361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112172043",
            "country_code": "US",
            "telephone_number": "631-507-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIARDINI",
        "first_name": "MATTHEW",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001179-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.