Paul Francis Ginnetty, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008912 Issued in NY

Practice address

28 Jones St
Suite 204
East Setauket, NY 11733-2941

Phone

(631) 689-6564

Fax

(631) 941-9797

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336203033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MARK DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873316",
            "telephone_number": "631-689-6564",
            "fax_number": "631-366-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JONES ST",
            "address_2": "SUITE 204",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332941",
            "telephone_number": "631-689-6564",
            "fax_number": "631-941-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINNETTY",
        "first_name": "PAUL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "060696",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "V5255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AJ47037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard E. Georges II, PA-C
• Geppetto Management Corp
• Gerard J Furst DPM PLLC
• Alison Gernhart, PA
• Cheryl A Gillespie, PT
• Karyn C Ginsburg
• Amy Gironda
• Emily Glazer, MD
• Sarah Glen
• Sebastian Godinez, PA-C

• Clinical Psychologist in East Setauket, NY
• Providers in East Setauket, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.