Gerald T. Guild, PHD
Individual provider Active NPI Clinical Psychologist · Springville, NY
NPI 1104190750 · NPPES record last updated Feb 29, 2012
Key facts
- NPI
- 1104190750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 013672 (NY)
- Practice address
- 393 North St
Springville, NY 14141-9652 - Phone
- (716) 592-9311
- Fax
- (716) 592-4683
- NPI assigned
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013672 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Psychiatric & Psychological Services P C | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 013672 | NY | Yes |
Addresses
Primary practice location
393 North St
Springville, NY 14141-9652
Mailing address
393 North St
Springville, NY 14141-9652
Phone (716) 592-9311
Other providers in Springville, NY
- Melissa Gillenwater
- Paula Ann Gleason
- Stephanie L Grden
- Rachel Marie Green
- Shawna Kay Gugino
- Chad Evan Gurzak
- Cheryl Marie Haag
- Siobhan Ann Hacker
- Melissa Emily Hake
- Robbin H Hansen
All providers in Springville, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.