Gregory Bottaro, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

020541 Issued in NY

Practice address

179 Hamilton Ave
Greenwich, CT 06830

Phone

(347) 705-0406

NPI assigned

Apr 17, 2014

Last updated

Jul 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1437579406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 RICHLAND RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306053",
            "telephone_number": "860-455-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HAMILTON AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06830",
            "telephone_number": "347-705-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTARO",
        "first_name": "GREGORY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Boksenbaum, PH.D.
• Joseph Raymond Boldt II, DMD
• Mary E Bolger, PHD
• Nelson A Bonheim, MD
• James Stephen Borges, MD
• Jillian Bowes, D.C
• Donald Barry Boyd, M.D.
• Joanie Garcia Bradshaw, P.A.
• Steven Alan Bramwit, MD
• Nicole Branck, R.P.T.

• Psychologist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.