Active NPI
Elizabeth B Fuentes-Giardina, PHD
- Psychologist
- Rockville Centre, NY
National Provider Identifier
1154166502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 100 N Village Ave Ste 26
Rockville Centre, NY 11570-3712 - Phone
- (646) 599-3498
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
100 N Village Ave Ste 26
Rockville Centre, NY 11570-3712
Mailing address
100 N Village Ave Ste 26
Rockville Centre, NY 11570-3712
Phone (516) 510-4510
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1154166502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N VILLAGE AVE STE 26",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703712",
"telephone_number": "516-510-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N VILLAGE AVE STE 26",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703712",
"telephone_number": "646-599-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES-GIARDINA",
"first_name": "ELIZABETH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.