Active NPI
Gina Marie Haggerty
- Contractor
- North Babylon, NY
National Provider Identifier
1902049752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 64 Powell CT
North Babylon, NY 11703-3914 - Phone
- (631) 893-9151
- Fax
- (631) 893-9151
- NPI assigned
- Apr 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NY | Primary | |
| Behavior Analyst | 103K00000X | 001270-1 | NY |
Addresses
Primary practice location
64 Powell CT
North Babylon, NY 11703-3914
Mailing address
64 Powell CT
North Babylon, NY 11703-3914
Phone (631) 893-9151
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 |
|---|---|---|---|
| 001270-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902049752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 POWELL CT",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117033914",
"telephone_number": "631-893-9151",
"fax_number": "631-893-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 POWELL CT",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117033914",
"telephone_number": "631-893-9151",
"fax_number": "631-893-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGERTY",
"first_name": "GINA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001270-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.