Kevin Edward Arora Giangrasso, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P99994 Issued in NY

Practice address

44 Godwin Ave Ste 100
Midland Park, NJ 07432-1959

Phone

(201) 632-1548

NPI assigned

Nov 3, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kevin Edward Giangrasso Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bergen CBT, LLC

  • Psychologist
  • Midland Park, NJ
  • NPI 1750169561
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1265805972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GORDON RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504620",
            "telephone_number": "201-632-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE STE 100",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321959",
            "telephone_number": "201-632-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANGRASSO",
        "first_name": "KEVIN",
        "middle_name": "EDWARD ARORA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P99994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "GIANGRASSO",
            "middle_name": "EDWARD",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paige E Garlasco, M.S., CF-SLP
• Deanna Maria Garofalo, BS, OTD, OTR/L
• Nicholas Francis Garofalo, MA, LAC, NCC
• Rachel Gaul, LSW
• Chana B Getter, LCSW
• Mary E Giorlando, MD
• Glen Rock Health Care Enterprises Inc.
• Michael Goldberg, DDS
• Jaclyn Anne Gonzalez
• Melissa Gonzalez

• Clinical Psychologist in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.