Individual provider Active NPI

Gabrielle Rosina Chiaramonte, PH.D.

  • Clinical Psychologist
  • Northport, NY
National Provider Identifier
1396079232
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019289-1 Issued in NY
Practice address
2 Fox Hollow Ridings CT
Northport, NY 11768-2241
Phone
(646) 721-7633
Fax
(646) 417-7633
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X
Health Psychologist 103TH0004X
Rehabilitation Psychologist 103TR0400X
Clinical Psychologist 103TC0700X 019289-1 NY Primary

Addresses

Primary practice location

2 Fox Hollow Ridings CT
Northport, NY 11768-2241

Mailing address

2 Fox Hollow Ridings CT
Northport, NY 11768-2241
Phone (631) 261-6312

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120622000001 NY Practitioner - Clinical Psychologist 7810152915 Practice locations: Northport, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Fox Hollow Ridings CT
Northport, NY 11768-2241
Phone (516) 810-3404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019289-1NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
New York Health Psychology, PC Clinical CurrentSince Jan 29, 2023 Accepting new patients

Organizations & group practices 1

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1396079232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FOX HOLLOW RIDINGS CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682241",
            "telephone_number": "631-261-6312",
            "fax_number": "646-417-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FOX HOLLOW RIDINGS CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682241",
            "telephone_number": "646-721-7633",
            "fax_number": "646-417-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARAMONTE",
        "first_name": "GABRIELLE",
        "middle_name": "ROSINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019289-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.