Ihab Girgis, PHD, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R075827 Issued in NY

Legal business name

IHAB GIRGIS, PHD, LCSW, PLLC

Practice address

107 Northern Blvd Ste 202
Great Neck, NY 11021-4309

Phone

(917) 648-0885

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ihab Girgis, PHD, LCSWRNPI 1972773273

Title

Ceo

Phone

(917) 648-0885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ihab Girgis, LCSW

  • Clinical Social Worker
  • New Hyde Park, NY
  • NPI 1972773273
  Medicare reassignment NPD Authorized official
• Rhoda Adrian Braff, PHD PSYCHOLOGY

  • Psychologist
  • Great Neck, NY
  • NPI 1376757153
  NPD (past)
• Teri A Messina, LCSWR

  • Clinical Social Worker
  • Great Neck, NY
  • NPI 1215037619
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1861990863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 INGRAHAM LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404240",
            "telephone_number": "917-648-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NORTHERN BLVD STE 202",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214309",
            "telephone_number": "917-648-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHAB GIRGIS, PHD, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "IHAB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-648-0885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R075827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Elizabeth Ingenito, OTR

• Clinical Social Worker in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.