Linda Ganzenmuller, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

018628-1 Issued in NY

Practice address

66 Harned Rd
Commack, NY 11725-3527

Phone

(631) 543-8577

Fax

(631) 543-8573

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Supportive Psychological Services of Long Island, P.C.

  • Psychologist
  • Commack, NY
  • NPI 1285169193
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1720144900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PAWNEE DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HARNED RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253527",
            "telephone_number": "631-543-8577",
            "fax_number": "631-543-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZENMULLER",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018628-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Patrick Fusco, BCBA, LBA
• Ruth Tammi Gaines, MA,CCC
• Amy E Gallo
• Kristina M Galvin
• Heather Ganz, MS.ED.
• Maria Cristina Garcia-Velasquez, LCSW
• Miriam Garcia
• Gaston Mike Liu LLC
• Alison Gaudy, M.S., CCC-SLP
• Deborah Gazzillo, D.D.S.

• Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.