Individual provider Active NPI

Nadine Fitoussi, PSY.D.

  • School Psychologist
  • Port Washington, NY
National Provider Identifier
1649547464
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
019215 Issued in NY
Practice address
101 Sands Point Rd
Sousa Elementary School
Port Washington, NY 11050-1641
Phone
(516) 767-5361
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 019215 NY Primary

Addresses

Primary practice location

101 Sands Point Rd
Sousa Elementary School
Port Washington, NY 11050-1641

Mailing address

101 Sands Point Rd
Sousa Elementary School
Port Washington, NY 11050-1641
Phone (516) 767-5361

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

LicenseStateTypeSpecialty
019215NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julian Herskowitz and Steven Lefkowitz, PH.D. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1649547464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SANDS POINT RD",
            "address_2": "SOUSA ELEMENTARY SCHOOL",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501641",
            "telephone_number": "516-767-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SANDS POINT RD",
            "address_2": "SOUSA ELEMENTARY SCHOOL",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501641",
            "telephone_number": "516-767-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITOUSSI",
        "first_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "019215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.