Active NPI
Jolita Lydia Gudaitis, MSED; MSM
- School Psychologist
- Stony Brook, NY
National Provider Identifier
1548050255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1840812
- Practice address
- 23 Blueberry LN
Stony Brook, NY 11790-2515 - Phone
- (516) 313-4885
- NPI assigned
- May 7, 2025
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1840812 | NY | Primary |
Addresses
Primary practice location
23 Blueberry LN
Stony Brook, NY 11790-2515
Mailing address
23 Blueberry LN
Stony Brook, NY 11790-2515
Phone (516) 313-4885
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1840812 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1548050255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BLUEBERRY LN",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902515",
"telephone_number": "516-313-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BLUEBERRY LN",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902515",
"telephone_number": "516-313-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDAITIS",
"first_name": "JOLITA",
"middle_name": "LYDIA",
"credential": "MSED; MSM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1840812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.