Active NPI
Marie Virgine Aristilde, PSYD
- Psychologist
- Kings Park, NY
National Provider Identifier
1598307704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 19 Ernest CT
Kings Park, NY 11754-5020 - Phone
- (516) 504-5074
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
19 Ernest CT
Kings Park, NY 11754-5020
Mailing address
19 Ernest CT
Kings Park, NY 11754-5020
Phone (516) 504-5074
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200212000762 | NY | Practitioner - Clinical Psychologist | 4587090402 | Practice locations: Kings Park, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19 Ernest CT
Kings Park, NY 11754-5020
Phone (516) 504-5074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aristilde Psychological Services, PLLC | Psychologist | Current | Accepting new patients |
| Think Nest Integrative Psychological Services, PLLC | Psychologist | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Kings Park, NY
- NPI 1104634708
-
- Psychologist
- Kings Park, NY
- NPI 1851268247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1598307704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 ERNEST CT",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117545020",
"telephone_number": "516-504-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 ERNEST CT",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117545020",
"telephone_number": "516-504-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARISTILDE",
"first_name": "MARIE",
"middle_name": "VIRGINE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2025-01-16",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kings Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.