Individual provider Active NPI

Chassitty Nikole Fiani, PHD

  • Clinical Psychologist
  • Rego Park, NY
National Provider Identifier
1346894359
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
023318 Issued in NY
Practice address
6125 97TH St
Rego Park, NY 11374-1248
Phone
(929) 224-2446
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 023318 NY Primary

Addresses

Primary practice location

6125 97TH St
Rego Park, NY 11374-1248

Mailing address

6125 97TH St
Rego Park, NY 11374-1248
Phone (929) 224-2446

Other names 1

  • Chassitty Nikole Whitman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 14, 2024 through Aug 14, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
023318NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1346894359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 97TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741248",
            "telephone_number": "929-224-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 97TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741248",
            "telephone_number": "929-224-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIANI",
        "first_name": "CHASSITTY",
        "middle_name": "NIKOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASSITTY",
            "last_name": "WHITMAN",
            "middle_name": "NIKOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.