Individual provider Active NPI

Elizabeth Khristine Gajda, M.ED., ED.S.

  • School Psychologist
  • New Castle, PA
National Provider Identifier
1245054907
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
OH1435006 Issued in OH
Practice address
770 Brownhome Rd
New Castle, PA 16101-8312
Phone
(330) 842-2160
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH1435006 OH Primary

Addresses

Primary practice location

770 Brownhome Rd
New Castle, PA 16101-8312

Mailing address

770 Brownhome Rd
New Castle, PA 16101-8312
Phone (330) 842-2160

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
OH1435006OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1245054907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BROWNHOME RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161018312",
            "telephone_number": "330-842-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BROWNHOME RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161018312",
            "telephone_number": "330-842-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJDA",
        "first_name": "ELIZABETH",
        "middle_name": "KHRISTINE",
        "credential": "M.ED., ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH1435006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.