Karen Bottalico

Key facts

NPI

1285828046

Entity type

Individual (NPI type 1)

Primary specialty

School Psychologist 103TS0200X

Practice address

189 Wheatley Rd
Children'S Education Center
Glen Head, NY 11545-2641

Phone

(516) 626-1075

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2007.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1285828046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY RD",
            "address_2": "CHILDREN'S EDUCATION CENTER",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452641",
            "telephone_number": "516-626-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY RD",
            "address_2": "CHILDREN'S EDUCATION CENTER",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452641",
            "telephone_number": "516-626-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTALICO",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

• Peggy Bice, LCSW
• Sheila M. Bilko, M.S.,C.C.C.,L.S.P.
• Patricia Mary Billard
• Cheryl Ann Bobe, LCSW, CPP
• Body-Mind Health, LLP
• Wendy Boyle
• Suzanne Briody
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• Barbara Maria Bryzgornia
• Maria Canonica, LMSW

All providers in Glen Head, NY · School Psychologist in New York