Individual provider Active NPI

George Anthony Giuliani Jr., PSY.D.

  • Clinical Psychologist
  • Melville, NY
National Provider Identifier
1407072176
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013538 Issued in NY
Practice address
6 Wharton PL
Melville, NY 11747-4260
Phone
(631) 427-6455
Fax
(631) 427-6455
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 013538 NY Primary

Addresses

Primary practice location

6 Wharton PL
Melville, NY 11747-4260

Mailing address

6 Wharton PL
Melville, NY 11747-4260
Phone (631) 427-6455

Other identifiers 1

IdentifierTypeStateIssuer
01924996MedicaidNY

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
I20111229000755 NY Practitioner - Clinical Psychologist 5092981779 Practice locations: Melville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Wharton Place
Melville, NY 11747-4260
Phone (631) 427-6455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013538NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407072176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHARTON PL",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474260",
            "telephone_number": "631-427-6455",
            "fax_number": "631-427-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WHARTON PL",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474260",
            "telephone_number": "631-427-6455",
            "fax_number": "631-427-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANI",
        "first_name": "GEORGE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01924996",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.