Glacier Psychology Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GLACIER PSYCHOLOGY SERVICES, PLLC

Practice address

181 Main St
Huntington, NY 11743-6918

Phone

(631) 335-3584

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Kayla Nelson, PSYDNPI 1487133237

Title

Owner

Phone

(631) 335-3584

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Marie Nelson

  • Psychologist
  • Huntington, NY
  • NPI 1487133237
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1316679129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436918",
            "telephone_number": "631-335-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436918",
            "telephone_number": "631-335-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER PSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-335-3584",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Gertrudis Giordano, MD
• Nick Gioules, RPH
• Anthony Joseph Giovanniello, MD
• Melissa Giove, M.S.
• Philip Giusti, D.D.S.
• Aidan Glackin, D.D.S.
• Barry Glanzman, M.D.
• Michele Lauren Glaser
• Wendy Elizabeth Glassman, PHD
• Deanna Glassmann, M.A.

• Psychologist in Huntington, NY
• Providers in Huntington, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.