Individual provider Active NPI

Gina Michele Depalo, PSY.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1972383487
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
025152 Issued in NY
Practice address
449 Grand St Apt 2L
Brooklyn, NY 11211-4762
Phone
(631) 806-1225
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 025152 NY Primary

Addresses

Primary practice location

449 Grand St Apt 2L
Brooklyn, NY 11211-4762

Mailing address

449 Grand St Apt 2L
Brooklyn, NY 11211-4762
Phone (631) 806-1225

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

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1972383487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 GRAND ST APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114762",
            "telephone_number": "631-806-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 GRAND ST APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114762",
            "telephone_number": "631-806-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALO",
        "first_name": "GINA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.