Nicole Carrozza Psychologist PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

NICOLE CARROZZA PSYCHOLOGIST PLLC

Practice address

237 Beach 122ND St
Rockaway Park, NY 11694-2182

Phone

(347) 422-6551

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Carrozza, PSY.D

Title

Psychologist

Phone

(347) 422-6551

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1659093797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 WOLVERINE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 BEACH 122ND ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942182",
            "telephone_number": "347-422-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE CARROZZA PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "CARROZZA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-422-6551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arminda Maribel Motondo
• Marina Movashov, RN
• Sheri Lyn Muneno
• Polina Musheyeva
• Danielle Natoli
• Aviva Nisanov
• Paul Vincent Nolan, RN
• Ellen Lori Nussbaum, D.C.
• Virginia O'Brien, OTR/L, CCC-SLP
• Kailey M O'Grady

• Adolescent and Children Mental Health Clinic/Center in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.