Active NPI
Gabriel Birkby
- Counselor
- Orchard Park, NY
National Provider Identifier
1265162770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 014849
- Practice address
- 412 Hammocks Dr
Orchard Park, NY 14127-1685 - Phone
- (716) 225-0914
- NPI assigned
- Jun 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 014849 | NY | Primary |
| Counselor | 101Y00000X | NY |
Addresses
Primary practice location
412 Hammocks Dr
Orchard Park, NY 14127-1685
Mailing address
412 Hammocks Dr
Orchard Park, NY 14127-1685
Phone (716) 225-0914
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014849 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1265162770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 HAMMOCKS DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271685",
"telephone_number": "716-225-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 HAMMOCKS DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271685",
"telephone_number": "716-225-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKBY",
"first_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-16",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "014849",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.