Gregory Daniel Haggerty, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018419 Issued in NY

Practice address

627 Broadway Ste 200
Massapequa, NY 11758-5031

Phone

(516) 551-8655

NPI assigned

Apr 13, 2010

Last updated

Apr 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1881910016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 1ST AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621849",
            "telephone_number": "516-551-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 BROADWAY STE 200",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585031",
            "telephone_number": "516-551-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "GREGORY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Anthony Guerra, LMFT
• Barbara Andrade Guimaraes, LMSW
• Larissa Carmel Gutierrez
• Michael Guzzardi
• Casey Hagerstrom, M.S., CF-SLP
• Debra Ann Hahn, PA
• Hammad Mohsin Psychiatry PC (Wellmind Psychiatry)
• Karen Sylvia Hammer, DDS
• David Hanley, L.AC, LMT, PTA
• Tonilyn Hanzich, LMSW

• Clinical Psychologist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.