Organization Active NPI

Dr. Judith Susan Geizhals PHD

  • Clinical Psychologist
  • Port Washington, NY
National Provider Identifier
1154612653
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0069611 Issued in NY
Legal business name
DR. JUDITH SUSAN GEIZHALS PHD
Practice address
114 Middle Neck Rd
Port Washington, NY 11050-1933
Phone
(516) 883-6282
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Judith Susan Geizhals, PHDNPI 1295067544
Title
Principal
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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0069611 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": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1154612653",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JUDITH SUSAN GEIZHALS PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "GEIZHALS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "516-883-6282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0069611",
            "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 May 2, 2011; 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.