Active NPI
Stanley C. Giudici, M.D., M.a.R ., P.C.
- Psychiatry Physician
- Middletown, NY
National Provider Identifier
1528248341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 234957
- Legal business name
- STANLEY C. GIUDICI, M.D., M.A.R ., P.C.
- Practice address
- 75 Crystal Run Road
Suite 125
Middletown, NY 10941-7009 - Phone
- (845) 692-4770
- Fax
- (845) 692-5199
- NPI assigned
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Giulia Preziuso
- Title
- Office Manager
- Phone
- (845) 692-4770
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 234957 | NY | |
| Clinical Social Worker | 1041C0700X | R0334641 | NY | |
| Psychiatry Physician | 2084P0800X | 234957 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 231466 | NY |
Addresses
Primary practice location
75 Crystal Run Road
Suite 125
Middletown, NY 10941-7009
Mailing address
75 Crystal Run Road
Suite 125
Middletown, NY 10941-7009
Phone (845) 692-4770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02641303-03 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
75 Crystal Run Rd
Ste 125
Middletown, NY 10941
Phone (815) 692-4770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Nyack, NY
- NPI 1477757656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257292800000",
"number": "1528248341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CRYSTAL RUN ROAD",
"address_2": "SUITE 125",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109417009",
"telephone_number": "845-692-4770",
"fax_number": "845-692-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CRYSTAL RUN ROAD",
"address_2": "SUITE 125",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109417009",
"telephone_number": "845-692-4770",
"fax_number": "845-692-5199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLEY C. GIUDICI, M.D., M.A.R ., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2009-11-04",
"status": "A",
"authorized_official_last_name": "PREZIUSO",
"authorized_official_first_name": "GIULIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "845-692-4770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "234957",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0334641",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "234957",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "231466",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02641303-03",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.