Individual provider Active NPI

Dawn Starr Gorlitsky, PSY.D., ABSNP

  • Clinical Psychologist
  • Pawling, NY
National Provider Identifier
1497411987
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013225 Issued in NY
Practice address
27 Washington CT
Pawling, NY 12564-2175
Phone
(845) 216-3989
NPI assigned
Nov 9, 2021
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 013225 NY Primary
Early Intervention Provider Agency 252Y00000X 013225 NY

Addresses

Primary practice location

27 Washington CT
Pawling, NY 12564-2175

Mailing address

27 Washington CT
Pawling, NY 12564-2175
Phone (845) 216-3989

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1497411987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WASHINGTON CT",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125642175",
            "telephone_number": "845-216-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WASHINGTON CT",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125642175",
            "telephone_number": "845-216-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLITSKY",
        "first_name": "DAWN",
        "middle_name": "STARR",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABSNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013225",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "013225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawling, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.