Maxine L. Gann Psychologist, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7966 Issued in NY

Legal business name

MAXINE L. GANN PSYCHOLOGIST, P.C.

Practice address

1199 Park Ave
Suite 1K
New York, NY 10128-1711

Phone

(212) 860-3368

Fax

(212) 202-3890

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Maxine L. Gann, PH.D.NPI 1417626383

Title

President

Phone

(212) 860-3368

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maxine L Gann, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1417626383
  NPD (past) Authorized official

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1003241225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E 96TH ST",
            "address_2": "SUITE 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280706",
            "telephone_number": "212-860-3368",
            "fax_number": "212-202-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281711",
            "telephone_number": "212-860-3368",
            "fax_number": "212-202-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXINE L. GANN PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "GANN",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-860-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "7966",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "7966",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "7966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxim Kreditor MD PC
• Maximal Care Services Inc
• Nadira Neesha Maximel, RN
• Maximeyes Optical Inc.
• Sarah Maximos
• Allison Beth Maxon, MSPED
• Emily Ruth Maxson, M.D.
• Maxwell 21 Medical, PC
• Maxwell 58 Medical PC
• Maxwell Madison Medical, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.