Phyllis Gildston, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000296-1 Issued in NY

Practice address

275 Middle Neck Rd
Suite B-6
Great Neck, NY 11023-1925

Phone

(516) 482-4444

NPI assigned

Aug 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1669663050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MIDDLE NECK RD",
            "address_2": "SUITE B-6",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231925",
            "telephone_number": "516-482-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MIDDLE NECK RD",
            "address_2": "SUITE B-6",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231925",
            "telephone_number": "516-482-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDSTON",
        "first_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000296-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000340-1",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000080-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000225-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirel Gidon
• Marzena Gieniusz, M.D.
• Bruce Raymond Gilbert, M.D., PH.D.
• Julianna Gilbert, M.S., CCC-SLP, TSSLD
• Richard Stephen Gilbert, MD
• Luca Giliberto, MD, PHD
• Stephen I Gillman, PH.D
• Debra Ann Gilroy, RN
• Hung Gim I, L.AC
• Edwin Ginsberg, D.M.D.

• Mental Health Counselor in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.