Gisela Davila, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016377-1 Issued in NY

Practice address

63 Tuthill Rd
Queensbury, NY 12804-8457

Phone

(518) 791-5203

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1134328305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 TUTHILL RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048457",
            "telephone_number": "518-791-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 TUTHILL RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048457",
            "telephone_number": "518-791-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "GISELA",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016377-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "016377-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessyca Darrah
• Michelle Eve Davey, LMSW
• David J. Sherrick D.D.S.,P.C.
• Deseree David
• Marcy D.W. Davidson, PT
• Melissa Lynn Davis-Parker, RN
• Savannah Hollae Davis, LMSW
• Andrea M Dedona, PA
• Brianna Degregory, LCSW
• Laura Delay

• Psychologist in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.