Active NPI
Kim Ann Guarascio, PH.D.
- Counseling Psychologist
- Whitesboro, NY
National Provider Identifier
1184665267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 015731-1
- Practice address
- 10 Main St Ste 203
Whitesboro, NY 13492-1035 - Phone
- (315) 790-3639
- Fax
- (315) 507-5670
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 015731-1 | NY | Primary |
Addresses
Primary practice location
10 Main St Ste 203
Whitesboro, NY 13492-1035
Mailing address
10 Main St Ste 203
Whitesboro, NY 13492-1035
Phone (315) 790-3639
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015731-1 | NY | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wampsville, NY
- NPI 1689780546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1184665267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MAIN ST STE 203",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134921035",
"telephone_number": "315-790-3639",
"fax_number": "315-507-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MAIN ST STE 203",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134921035",
"telephone_number": "315-790-3639",
"fax_number": "315-507-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUARASCIO",
"first_name": "KIM",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "015731-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitesboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.