Active NPI
Robert James Guarcello, PHD
- Psychologist
- Garden City, NY
National Provider Identifier
1790768190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6304
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00434322 | Medicaid | NY | |
| 037556 | Other | NY | EMPIRE/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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006304 | NY | MD | Mental Health Counselor |
| 6304 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Guarcello, Psychology,PC | Past | 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.
-
- Adult Mental Health Clinic/Center
- Garden City, NY
- NPI 1790946952
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.