Healthcare Provider Details

I. General information

NPI: 1083542948
Provider Name (Legal Business Name): GETTENBERG PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 CENTRAL AVE UNIT 122
CEDARHURST NY
11516-2329
US

IV. Provider business mailing address

388 KENRIDGE RD
LAWRENCE NY
11559-1816
US

V. Phone/Fax

Practice location:
  • Phone: 516-279-1923
  • Fax:
Mailing address:
  • Phone: 516-279-1923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ARIELLA GETTENBERG
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 516-279-1923