Individual provider Active NPI

Sherine E Gilmour

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1063743854
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000686 Issued in NY
Practice address
220 5TH Ave
Suite 802
New York, NY 10001-7708
Phone
(347) 461-2557
NPI assigned
Jan 19, 2010
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000686 NY Primary

Addresses

Primary practice location

220 5TH Ave
Suite 802
New York, NY 10001-7708

Mailing address

4407 4TH Ave
Apt. D3
Brooklyn, NY 11220-1151
Phone (347) 461-2557

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

LicenseStateTypeSpecialty
000686NYMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1063743854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 4TH AVE",
            "address_2": "APT. D3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201151",
            "telephone_number": "347-461-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVE",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017708",
            "telephone_number": "347-461-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMOUR",
        "first_name": "SHERINE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.