Individual provider Active NPI

Victor Garlock, PH.D

  • Counseling Psychologist
  • Auburn, NY
National Provider Identifier
1982228565
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
1 Hoffman St
Auburn, NY 13021-2157
Phone
(315) 704-0319
Fax
(315) 728-9445
NPI assigned
May 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

1 Hoffman St
Auburn, NY 13021-2157

Mailing address

1 Hoffman St
Auburn, NY 13021-2157
Phone (315) 704-0319

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Energy Works Center of Auburn Inc. CurrentSince Jun 7, 2020 Accepting new patients

Locations

1 Hoffman St
Auburn, NY 13021
Phone (315) 704-0319

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1982228565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOFFMAN ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212157",
            "telephone_number": "315-704-0319",
            "fax_number": "315-728-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOFFMAN ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212157",
            "telephone_number": "315-704-0319",
            "fax_number": "315-728-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLOCK",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.