Individual provider Active NPI

Diane Garfinkle

  • Psychologist
  • Forest Hills, NY
National Provider Identifier
1497001705
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011429-1 Issued in NY
Practice address
6636 Yellowstone Blvd
Apartment 20H
Forest Hills, NY 11375-2510
Phone
(718) 897-6249
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011429-1 NY Primary

Addresses

Primary practice location

6636 Yellowstone Blvd
Apartment 20H
Forest Hills, NY 11375-2510

Mailing address

6636 Yellowstone Blvd
Apartment 20H
Forest Hills, NY 11375-2510
Phone (718) 897-6249

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
I20190107003032 NY Practitioner - Clinical Psychologist 5193061562 Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10245 67TH Rd
Apt 1T
Forest Hills, NY 11375-2628
Phone (516) 225-2297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011429-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Rimma Danov Neuropsychologist, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1497001705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 YELLOWSTONE BLVD",
            "address_2": "APARTMENT 20H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752510",
            "telephone_number": "718-897-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 YELLOWSTONE BLVD",
            "address_2": "APARTMENT 20H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752510",
            "telephone_number": "718-897-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFINKLE",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011429-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.