Skaneateles Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SKANEATELES PSYCHIATRY, PLLC

Practice address

4361 Jordan Rd
Skaneateles, NY 13152-9334

Phone

(315) 685-5157

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Olumuyiwa Gay, MD

Title

Owner

Phone

(315) 857-5971

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tess W Walsh, MA, LCSW, CASAC

  • Clinical Social Worker
  • Skaneateles, NY
  • NPI 1295213130
  NPD

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1306450416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 JORDAN RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529334",
            "telephone_number": "315-685-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 JORDAN RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529334",
            "telephone_number": "315-685-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKANEATELES PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "OLUMUYIWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-857-5971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Kraetz
• Stacey Beth Sinclair, M.S. CCC-SLP
• Skaneateles Ambulance Volunteer Emergency Service Inc
• Skaneateles Central School District
• Skaneateles Dental Associates, PLLC
• Skaneateles Spine & Sport, Inc.
• Skiff Physical Therapy, PLLC
• Sandra Joan Skiff, PT
• Thomas V Smallman, MD
• Carol L Smith, RN

• Psychiatry Physician in Skaneateles, NY
• Providers in Skaneateles, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.