Active NPI
Guy J Beauzile, M.D.
- Child & Adolescent Psychiatry Physician
- Dix Hills, NY
National Provider Identifier
1639205024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 198004
- Practice address
- 197 Half Hollow Rd
Dix Hills, NY 11746-5861 - Phone
- (631) 370-1701
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 198004 | NY | Primary |
Addresses
Primary practice location
197 Half Hollow Rd
Dix Hills, NY 11746-5861
Mailing address
4 Verly CT
Bethpage, NY 11714-5910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198004 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- guy.beauzile@lifqhc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1639205024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 VERLY CT",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 HALF HOLLOW RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465861",
"telephone_number": "631-370-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUZILE",
"first_name": "GUY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "198004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198004",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.