Active NPI
Joseph Graybill
- Psychologist
- Piermont, NY
National Provider Identifier
1902674427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019579-01
- Practice address
- 6 W Lawrence Park Dr Unit 2
Piermont, NY 10968-3125 - Phone
- (201) 247-8926
- NPI assigned
- Dec 14, 2023
- Last updated
- Dec 14, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019579-01 | NY | Primary |
Addresses
Primary practice location
6 W Lawrence Park Dr Unit 2
Piermont, NY 10968-3125
Mailing address
78 Ackerman Ave
Emerson, NJ 07630-1758
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 |
|---|---|---|---|
| 019579-01 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1902674427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 ACKERMAN AVE",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 W LAWRENCE PARK DR UNIT 2",
"city": "PIERMONT",
"state": "NY",
"postal_code": "109683125",
"telephone_number": "201-247-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYBILL",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019579-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piermont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.