Active NPI
Gabrielle Adamitis, PSYD
- Clinical Psychologist
- Syracuse, NY
National Provider Identifier
1043782972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043842A
- Practice address
- 800 Irving Ave
Syracuse, NY 13210-2716 - Phone
- (315) 425-4400
- NPI assigned
- Dec 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043842A | IN | Primary |
Addresses
Primary practice location
800 Irving Ave
Syracuse, NY 13210-2716
Mailing address
127 Creek View Path
Kirkville, NY 13082-9442
Phone (701) 989-9404
Other names 1
- Gabrielle Frohlich
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043842A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Basics, LLC | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Alexandria, VA
- NPI 1689988230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1043782972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CREEK VIEW PATH",
"city": "KIRKVILLE",
"state": "NY",
"postal_code": "130829442",
"telephone_number": "701-989-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102716",
"telephone_number": "315-425-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMITIS",
"first_name": "GABRIELLE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043842A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "FROHLICH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.