Active NPI
Harry Pitsikalis
- Clinical Psychologist
- Astoria, NY
National Provider Identifier
1720487531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020788
- Practice address
- 2011 20TH St
Apt 2C
Astoria, NY 11105-3527 - Phone
- (718) 908-7481
- NPI assigned
- Aug 18, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020788 | NY | Primary |
Addresses
Primary practice location
2011 20TH St
Apt 2C
Astoria, NY 11105-3527
Mailing address
2011 20TH St
Apt 2C
Astoria, NY 11105-3527
Phone (718) 908-7481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020788 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1720487531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 20TH ST",
"address_2": "APT 2C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053527",
"telephone_number": "718-908-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 20TH ST",
"address_2": "APT 2C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053527",
"telephone_number": "718-908-7481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITSIKALIS",
"first_name": "HARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-18",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.