Individual provider Active NPI

Robert James Guarcello, PHD

  • Psychologist
  • Garden City, NY
National Provider Identifier
1790768190
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6304 Issued in NY
Practice address
226 7TH St
Ste 307
Garden City, NY 11530-5723
Phone
(516) 877-0407
Fax
(516) 594-6909
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6304 NY Primary

Addresses

Primary practice location

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

Mailing address

226 7TH St
Ste 307
Garden City, NY 11530-5723
Phone (516) 877-0407

Other identifiers 2

IdentifierTypeStateIssuer
00434322MedicaidNY
037556OtherNYEMPIRE/VALUE OPTIONS

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
I20100112000297 NY Practitioner - Clinical Psychologist 8325189400 Practice locations: Garden City, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

226 7TH St
Garden City, NY 11530-5723
Phone (516) 877-0407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006304NYMDMental Health Counselor
6304NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Guarcello, Psychology,PC PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1790768190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 7TH ST",
            "address_2": "STE 307",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305723",
            "telephone_number": "516-877-0407",
            "fax_number": "516-594-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 7TH ST",
            "address_2": "STE 307",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305723",
            "telephone_number": "516-877-0407",
            "fax_number": "516-594-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARCELLO",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "6304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00434322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE/VALUE OPTIONS",
            "identifier": "037556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.