Susan Gaylord, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019360 Issued in NY

Practice address

28 E Old Country Rd
Hicksville, NY 11801-4292

Phone

(516) 297-7384

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• East End Psychological Services, P.C.

  • Community/Behavioral Health Agency
  • Miller Place, NY
  • NPI 1184981524
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1982950945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 SPINDLE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016246",
            "telephone_number": "516-297-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014292",
            "telephone_number": "516-297-7384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Route 25A",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117642663",
            "country_code": "US",
            "telephone_number": "631-821-7214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYLORD",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R. Galletti, D.C.
• Chandra Ganeshkumar, M.D.
• Caitlin Rose Garcia
• Michael F Garger, D.C.
• Kareem Gatling
• Tracey Gecewicz, LCSW
• Peter S Gelfand, DO
• General Long Island Eye Care LLC
• General Vision Services LLC
• Jean M Genninger, RN

• Clinical Psychologist in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.