Individual provider Active NPI

Emily Guarnotta, PSYD

  • Clinical Psychologist
  • Myrtle Beach, SC
National Provider Identifier
1356798466
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P00192 Issued in NY
Practice address
2819 McLeod LN
Myrtle Beach, SC 29588-5453
Phone
(631) 796-0737
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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 P00192 NY Primary

Addresses

Primary practice location

2819 McLeod LN
Myrtle Beach, SC 29588-5453

Mailing address

2819 McLeod LN
Myrtle Beach, SC 29588-5453
Phone (631) 796-0737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160726001772 NY Practitioner - Clinical Psychologist 9234422437 Reassigns benefits to 1 organization
Practice locations: Merrick, NY
I20220520002387 SC Practitioner - Psychologist Billing Independently 9234422437 Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Mindful Mommy Clinical CurrentSince Jul 16, 2023 Accepting new patients
Phoenix Health Therapy, LLC Clinical CurrentSince Jun 2, 2024 Accepting new patients
Long Beach Reach Inc. CurrentSince May 9, 2016 Accepting new patients

Locations

212 W Park Ave
Long Beach, NY 11561
Phone (516) 767-1133

2-12 W Park Ave
Ste 200
Long Beach, NY 11561
Phone (516) 889-2332

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1356798466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 MCLEOD LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885453",
            "telephone_number": "631-796-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 MCLEOD LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885453",
            "telephone_number": "631-796-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARNOTTA",
        "first_name": "EMILY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P00192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.