Active NPI
Carla Cusimano, M.A.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1689039554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 555 Remsen Ave
Brooklyn, NY 11236-1017 - Phone
- (718) 495-3510
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
555 Remsen Ave
Brooklyn, NY 11236-1017
Mailing address
11 Poplar St
Massapequa, NY 11758-2421
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1689039554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 POPLAR ST",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 REMSEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112361017",
"telephone_number": "718-495-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSIMANO",
"first_name": "CARLA",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.