Jeremy S Gaies, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0004308 Issued in FL

Practice address

14502 N Dale Mabry Hwy
Suite 200
Tampa, FL 33618-2075

Phone

(813) 325-4721

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychological Management Group, PA

  • Counseling Psychologist
  • Tampa, FL
  • NPI 1144384264
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1073663993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182075",
            "telephone_number": "813-325-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182075",
            "telephone_number": "813-325-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIES",
        "first_name": "JEREMY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Marie Gagnier, ARNP
• Jocelyn Amber Gagnon, PT, DPT
• Robyn Leigh Gagnon, DMD
• Elizabeth Romes Gahafer, MD
• Taylor Alexandra Gaias, RD, LD/N
• Lisa Gaies, PH.D.
• Carla D. Gainer, RN
• Janae Gainer
• Janet A Gainer, ARNP
• Liam Gainer

• Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.