Active NPI
Heather Gerrity
- School Psychologist
- Bayside, NY
National Provider Identifier
1811298425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 091692483
- Practice address
- 3415 205TH St
Bayside, NY 11361-1253 - Phone
- (917) 309-6938
- NPI assigned
- Nov 12, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 091692483 | NY | Primary |
Addresses
Primary practice location
3415 205TH St
Bayside, NY 11361-1253
Mailing address
3415 205TH St
Bayside, NY 11361-1253
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091692483 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1811298425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 205TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 205TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611253",
"telephone_number": "917-309-6938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERRITY",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "091692483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.