Justin Discalfani, PH.D., BCBA-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020656 Issued in NY

Practice address

206 E Main St
2ND Floor
Babylon, NY 11702-3598

Phone

(631) 793-7127

NPI assigned

Jun 18, 2014

Last updated

Aug 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

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.

• North Shore Psychological Services, PLLC

  • Clinical Psychologist
  • Smithtown, NY
  • NPI 1518426048
  Authorized official Same address or phone

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1326452368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WINDMILL CT",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872224",
            "telephone_number": "631-793-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023598",
            "telephone_number": "631-793-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCALFANI",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020656",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary R. Desimone, LCSW
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• Theresa Diorio
• Addie Dissick, M.D.
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• Omar Domenech
• Marc Domingo, PTA
• Yesli Sarai Dominguez

• Clinical Psychologist in Babylon, NY
• Providers in Babylon, 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 Aug 6, 2015; 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.