IndividualActive
Nikki Gustavson, PSY.D.
NPI 1174122816 · Clinical Psychologist · Melville, NY
Nikki Gustavson, PSY.D. is a Clinical Psychologist provider in Melville, NY (NPI 1174122816).
Provider details
- NPI number
- 1174122816
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 019182 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
275 Broadhollow Rd Ste 120
Melville, NY 11747-4863
Phone: (845) 279-5908
Fax: (845) 622-5055
Approximate (ZIP-level) locationGet directions
Mailing address
275 Broadhollow Rd Ste 120
Melville, NY 11747-4863
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Nikki Gustavson's NPI number?
- Nikki Gustavson's National Provider Identifier (NPI) is 1174122816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nikki Gustavson's specialty?
- Nikki Gustavson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Nikki Gustavson located?
- Nikki Gustavson's practice location on file with NPPES is 275 Broadhollow Rd Ste 120, Melville, NY 11747-4863.
- What is Nikki Gustavson's phone number?
- The practice phone number listed in the NPPES registry for Nikki Gustavson is (845) 279-5908.
- Is Nikki Gustavson's NPI active?
- Yes — Nikki Gustavson's NPI (1174122816) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.