Active NPI
Frank Richard Dibennardo I, PH.D
- Counseling Psychologist
- Forest Hills, NY
National Provider Identifier
1366455149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 004182-1
- Practice address
- 11050 71St Rd
Forest Hills, NY 11375-4969 - Phone
- (718) 263-4344
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 004182-1 | NY | Primary |
Addresses
Primary practice location
11050 71St Rd
Forest Hills, NY 11375-4969
Mailing address
51 Croyden Rd
Mineola, NY 11501-4608
Phone (516) 873-7661
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101029000558 | NY | Practitioner - Clinical Psychologist | 8426242801 | Practice locations: Mineola, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- New York University School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
51 Croyden Rd
Mineola, NY 11501-4608
Phone (516) 741-3749
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004182-1 | NY | MD | Counseling Psychologist |
| 004182 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366455149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 CROYDEN RD",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014608",
"telephone_number": "516-873-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 71ST RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754969",
"telephone_number": "718-263-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBENNARDO",
"first_name": "FRANK",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "004182-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- 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.