Joseph Gisondo, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7013 Issued in FL

Practice address

11380 Prosperity Farms Rd
209A
Palm Beach Gardens, FL 33410-3474

Phone

(561) 316-8030

NPI assigned

Jan 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1962707240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "209A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102763",
            "telephone_number": "561-316-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "209A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-316-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISONDO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-19",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006286",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon L Gilbert, DMD
• Savannah L Gill
• Mallory Gillespie, PT
• Chelsea Giorgetti, MS, RMHCI
• Jilian Nichole Gipp
• Kimberly R Giuliani, PHD
• Craig Arthur Glaesner, D.D.S.
• Bridget Kathleen Glass, PH.D., LMHC, ACS
• James C Glass, R.PH.
• Jessica Anne Glasse, PHARM.D.

• Psychologist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.