Active NPI
Dr. Judith Susan Geizhals PHD
- Clinical Psychologist
- Port Washington, NY
National Provider Identifier
1154612653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0069611
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judith Susan Geizhals, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 PHD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Port Washington, NY
- NPI 1114233483
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Great Neck, NY
- NPI 1295067544
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.