Active NPI
Frances Dalis, PSYD, LMSW,RPT-S
- Psychologist
- Roslyn, NY
National Provider Identifier
1194318832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 023896-01
- Practice address
- 1025 Northern Blvd
Roslyn, NY 11576-1506 - Phone
- (516) 418-2880
- NPI assigned
- Feb 13, 2021
- Last updated
- Feb 13, 2021
- 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 | 023896-01 | NY | Primary |
Addresses
Primary practice location
1025 Northern Blvd
Roslyn, NY 11576-1506
Mailing address
2 Private Rd
Bayville, NY 11709-1124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023896-01 | Other | NY | NEW YORK STATE OF EDUCATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 023896-01 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613174400000",
"number": "1194318832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PRIVATE RD",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117091124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 NORTHERN BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761506",
"telephone_number": "516-418-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALIS",
"first_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "PSYD, LMSW,RPT-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-13",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "023896-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE OF EDUCATION",
"identifier": "023896-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.