Individual provider Active NPI

Julie Gass

  • Clinical Psychologist
  • Williamsville, NY
National Provider Identifier
1104488196
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022427-01 Issued in NY
Practice address
5500 Main St Ste 265
Williamsville, NY 14221-6746
Phone
(716) 341-4740
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 022427 NY
Clinical Psychologist 103TC0700X 022427-01 NY Primary

Addresses

Primary practice location

5500 Main St Ste 265
Williamsville, NY 14221-6746

Mailing address

5500 Main St Ste 265
Williamsville, NY 14221-6746
Phone (716) 341-4740

Other practice location 1

3495 Bailey Ave # 116N
Buffalo, NY 14215-1129
Phone (716) 834-9200 ext. 5429

Other practice location 2

2969 Main St Ste 400
Buffalo, NY 14214-1066
Phone (716) 341-4740 ext. 103

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
022427-01NYMDClinical Psychologist
022427NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Psychology Group, PLLC Clinical PastSince Jun 4, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1104488196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MAIN ST STE 265",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216746",
            "telephone_number": "716-341-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MAIN ST STE 265",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216746",
            "telephone_number": "716-341-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Bailey Ave # 116N",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142151129",
            "country_code": "US",
            "telephone_number": "716-834-9200 x5429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2969 Main St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142141066",
            "country_code": "US",
            "telephone_number": "716-341-4740 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASS",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022427",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022427-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.