Active NPI
Girardin Jean-Louis, PH.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1194835843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- Q17050
- Practice address
- 3839 Flatlands Ave
Brooklyn, NY 11234-3500 - Phone
- (718) 252-1117
- Fax
- (718) 252-4185
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- 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 | Q17050 | NY | Primary |
Addresses
Primary practice location
3839 Flatlands Ave
Brooklyn, NY 11234-3500
Mailing address
3839 Flatlands Ave
Brooklyn, NY 11234-3500
Phone (718) 252-1117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02571108 | Medicaid | NY |
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 |
|---|---|---|---|
| Q17050 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Downstate Health Physicians
- Neurology Physician
- Brooklyn, NY
- NPI 1477500916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1194835843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343500",
"telephone_number": "718-252-1117",
"fax_number": "718-252-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3839 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343500",
"telephone_number": "718-252-1117",
"fax_number": "718-252-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-LOUIS",
"first_name": "GIRARDIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "Q17050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02571108",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.