Individual provider Active NPI

Jill Evan Hunziker, PH.D.

  • Clinical Psychologist
  • Garden City, NY
National Provider Identifier
1720117096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012888-1 Issued in NY
Practice address
226 7TH St
Suite 307
Garden City, NY 11530-5723
Phone
(516) 746-6466
Fax
(718) 634-5047
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 012888-1 NY Primary

Addresses

Primary practice location

226 7TH St
Suite 307
Garden City, NY 11530-5723

Mailing address

175 Beach 149TH St
Neponsit, NY 11694-1022
Phone (718) 634-3774

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012888-1NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720117096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BEACH 149TH ST",
            "city": "NEPONSIT",
            "state": "NY",
            "postal_code": "116941022",
            "telephone_number": "718-634-3774",
            "fax_number": "718-634-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 7TH ST",
            "address_2": "SUITE 307",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305723",
            "telephone_number": "516-746-6466",
            "fax_number": "718-634-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNZIKER",
        "first_name": "JILL",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012888-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.