Judith Susan Geizhals, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

006961-1 Issued in NY

Practice address

505 Northern Blvd
Suite215
Great Neck, NY 11021-5115

Phone

(516) 993-3319

NPI assigned

Feb 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Dr. Judith Susan Geizhals PHD

  • Clinical Psychologist
  • Port Washington, NY
  • NPI 1154612653
  NPD (past) Authorized official
• Judith S. Geizhals, PH.D.,P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Washington, NY
  • NPI 1114233483
  NPD (past) Authorized official

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1295067544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BARSTOW RD APT 2D",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213544",
            "telephone_number": "516-993-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NORTHERN BLVD",
            "address_2": "SUITE215",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215115",
            "telephone_number": "516-993-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIZHALS",
        "first_name": "JUDITH",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006961-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.