Individual provider Active NPI

Heather Juby, PHD

  • Counseling Psychologist
  • Northport, NY
National Provider Identifier
1710089149
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
1019 Fort Salonga Rd
Suite 10 #227
Northport, NY 11768-2270
Phone
(609) 937-0375
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

1019 Fort Salonga Rd
Suite 10 #227
Northport, NY 11768-2270

Mailing address

1019 Fort Salonga Rd
Suite 10 #227
Northport, NY 11768-2270
Phone (609) 937-0375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000162 NY Practitioner - Clinical Psychologist 2365590031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC CurrentSince May 14, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince May 14, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Romero Oncology, PLLC CurrentSince Jun 26, 2019 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4 Avis Dr
Ste 101
Latham, NY 12110
Phone (518) 560-4277

820 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 869-2231

303 Merrick Rd
Ste 204
Lynbrook, NY 11563

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900

Organizations & group practices 4

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1710089149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 FORT SALONGA RD",
            "address_2": "SUITE 10 #227",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682270",
            "telephone_number": "609-937-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 FORT SALONGA RD",
            "address_2": "SUITE 10 #227",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682270",
            "telephone_number": "609-937-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBY",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.