Miriam Varghese, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022333 Issued in NY

Practice address

329 S Oyster Bay Rd
Unit #2088
Plainview, NY 11803

Phone

(516) 231-2997

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1609534528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S OYSTER BAY RD # 2088",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S OYSTER BAY RD",
            "address_2": "UNIT #2088",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-231-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://securecontact.me/mvarghesepsyd@gmail.com",
            "affiliation": "N",
            "address_1": "329 S Oyster Bay Rd # 2088",
            "city": "Plainview",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118033301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wilda Valentin
• Ashley Valerio, FNP
• Vandana Soni Physician PC
• Vanguard Medical Imaging P C
• Linda Vanschultz, MS
• Stanley Varghese, PA-C
• Denise Vasques
• Thomas Baby Vazhakalayil, DPT
• Susan Yanira Velasquez, LMSW
• Yolanda Velazquez, MS.ED

• Clinical Psychologist in Plainview, NY
• Providers in Plainview, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.