Active NPI
Joanna Hurley, PHD
- Clinical Psychologist
- Huntington, NY
National Provider Identifier
1477186302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024312
- Practice address
- 23 Green St Ste 105
Huntington, NY 11743-3336 - Phone
- (631) 301-4888
- NPI assigned
- Feb 19, 2020
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Psychologist | 103TC0700X | 024312 | NY | Primary |
Addresses
Primary practice location
23 Green St Ste 105
Huntington, NY 11743-3336
Mailing address
23 Green St Ste 105
Huntington, NY 11743-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024312 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1477186302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 GREEN ST STE 105",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 GREEN ST STE 105",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433336",
"telephone_number": "631-301-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "JOANNA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
- Huntington Physical Therapy
- Huntington Pulmonary PC
- Huntington Registered Nursing Services
- Huntington RX Pharmacy Inc (RX Express Pharmacy of E Northport)
- Huntington Youth Bureau Youth Development Research Insitute, Inc. (Town of Huntington Drug and Alcohol Counseling Ctr.)
- Michael Hurley, PH.D
- Sophia M Hurst
- Fernando Andres Huyke Hernandez, MD
- Seung Hee Hwang
- Noosrat Binthe Hyder, PHARM. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.