Active NPI
Marina Guirguis, M.S. ED
- School Psychologist
- Staten Island, NY
National Provider Identifier
1710465455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1239445182
- Practice address
- 4024 Amboy Rd
Staten Island, NY 10308-2409 - Phone
- (718) 984-9022
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1239445182 | NY | Primary |
Addresses
Primary practice location
4024 Amboy Rd
Staten Island, NY 10308-2409
Mailing address
224 Monahan Ave
Staten Island, NY 10314-6131
Phone (646) 549-6698
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1239445182 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1710465455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 MONAHAN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146131",
"telephone_number": "646-549-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082409",
"telephone_number": "718-984-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIRGUIS",
"first_name": "MARINA",
"credential": "M.S. ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1239445182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.