Individual provider Active NPI

Ayme Turnbull, PSYD

  • Clinical Psychologist
  • Glen Head, NY
National Provider Identifier
1497888390
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
68016486 Issued in NY
Practice address
30 Glen Head Rd Ste 3
Glen Head, NY 11545-1433
Phone
(516) 467-6667
Fax
(516) 765-9146
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 68016486 NY Primary

Addresses

Primary practice location

30 Glen Head Rd Ste 3
Glen Head, NY 11545-1433

Mailing address

30 Glen Head Rd Ste 3
Glen Head, NY 11545-1433
Phone (516) 467-6667

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
I20210908001748 NY Practitioner - Clinical Psychologist 3779989215 Practice locations: Glen Head, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Glen Head Rd
Suite 3
Glen Head, NY 11545-1433
Phone (516) 467-6667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68016486NYMDClinical Psychologist
016486NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1497888390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GLEN HEAD RD STE 3",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451433",
            "telephone_number": "516-467-6667",
            "fax_number": "516-765-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GLEN HEAD RD STE 3",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451433",
            "telephone_number": "516-467-6667",
            "fax_number": "516-765-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBULL",
        "first_name": "AYME",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68016486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

Verify at the official NPI Registry.