Active NPI
Jean Cirillo, PHD
- Clinical Psychologist
- Huntington, NY
National Provider Identifier
1891864336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 008366
- Practice address
- 27 Fairview St
Huntington, NY 11743-3413 - Phone
- (516) 532-3625
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 008366 | NY | Primary |
Addresses
Primary practice location
27 Fairview St
Huntington, NY 11743-3413
Mailing address
27 Fairview St
Huntington, NY 11743-3413
Phone (516) 532-3625
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069720 | Other | NY | GROUP HEALTH INSURABCE |
| CS096 | Other | NY | OXFORD HEALTH PLANS |
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891864336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 FAIRVIEW ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433413",
"telephone_number": "516-532-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 FAIRVIEW ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433413",
"telephone_number": "516-532-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIRILLO",
"first_name": "JEAN",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "008366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INSURABCE",
"identifier": "0069720",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "CS096",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.