Active NPI
Gayle Parker, PH.D.
- Clinical Psychologist
- Merrick, NY
National Provider Identifier
1194816736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 010498-1
- Practice address
- 1991 Smith St Ste 200
Merrick, NY 11566-3578 - Phone
- (718) 268-0123
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 010498-1 | NY | Primary |
Addresses
Primary practice location
1991 Smith St Ste 200
Merrick, NY 11566-3578
Mailing address
25 Nancy PL
Massapequa, NY 11758-4322
Phone (917) 348-4341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240306002229 | NY | Practitioner - Clinical Psychologist | 4981689403 | Practice locations: Massapequa, NY; Merrick, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Rochester School of Medicine and Dentistry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1991 Smith St
Suite 200
Merrick, NY 11566-3578
Phone (718) 268-0123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010498-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697328000000",
"number": "1194816736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NANCY PL",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584322",
"telephone_number": "917-348-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 SMITH ST STE 200",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663578",
"telephone_number": "718-268-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "GAYLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-10-15",
"certification_date": "2023-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "010498-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.