Active NPI
Dennise Garcia Sevilla, PH.D
- Clinical Child & Adolescent Psychologist
- New York, NY
National Provider Identifier
1962745588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 020956
- Practice address
- 303 5TH Ave RM 1108
New York, NY 10016-6655 - Phone
- (347) 766-7390
- NPI assigned
- Apr 2, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 020956 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 020956 | NY | Primary |
Addresses
Primary practice location
303 5TH Ave RM 1108
New York, NY 10016-6655
Mailing address
303 5TH Ave RM 1108
New York, NY 10016-6655
Phone (347) 766-7390
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020956 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1962745588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 5TH AVE RM 1108",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166655",
"telephone_number": "347-766-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 5TH AVE RM 1108",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166655",
"telephone_number": "347-766-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA SEVILLA",
"first_name": "DENNISE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "020956",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "020956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Dignauris Garcia Pichardo, DNP
- Ana Virginia Garcia Porto, LCSW
- Ruth Margarita Garcia Redondo
- Idalmis Garcia Rodriguez
- Muriel Bibely Garcia Rosario, MD
- Alejandro Daniel Garcia Villanueva, MD
- Carmen M Garcia-Albarran, M.D
- Michelly Garcia-Arroyo
- Reuben John Garcia-Carrasquillo, M.D.
- Elena Garcia-Davranova
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.