Active NPI
Carol A Miskiv, PHD
- Psychologist
- North Babylon, NY
National Provider Identifier
1508995457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010878
- Practice address
- 135 Alicia Drive
North Babylon, NY 11703-4036 - Phone
- (631) 669-3070
- Fax
- (631) 669-5358
- NPI assigned
- Mar 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010878 | NY | Primary |
Addresses
Primary practice location
135 Alicia Drive
North Babylon, NY 11703-4036
Mailing address
135 Alicia Drive
North Babylon, NY 11703-4036
Phone (631) 669-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 14, 2023 through Nov 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508995457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 ALICIA DRIVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034036",
"telephone_number": "631-669-3070",
"fax_number": "631-669-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 ALICIA DRIVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034036",
"telephone_number": "631-669-3070",
"fax_number": "631-669-5358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISKIV",
"first_name": "CAROL",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.