Geriatric Psychiatry Consultant, PLLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

214765 Issued in NY

Legal business name

GERIATRIC PSYCHIATRY CONSULTANT, PLLC

Practice address

200 Washington Avenue Ext
Albany, NY 12203-5335

Phone

(518) 229-0807

Fax

(866) 465-2338

NPI assigned

Feb 26, 2009

Last updated

Nov 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Guerman Ermolenko, MDNPI 1003828039

Title

President

Phone

(518) 229-0807

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Guerman Ermolenko, MD

  • Geriatric Psychiatry Physician
  • Guilderland, NY
  • NPI 1003828039
  Authorized official Same address or phone

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1326288622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120840627",
            "telephone_number": "518-229-0807",
            "fax_number": "866-465-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035335",
            "telephone_number": "518-229-0807",
            "fax_number": "866-465-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PSYCHIATRY CONSULTANT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "ERMOLENKO",
        "authorized_official_first_name": "GUERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-229-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "214765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS MEDICARE PIN",
            "identifier": "J100000220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Lynn Gerber, LICSW
• Andrew C Gerdeman, MD
• Gregg Francis Gerety, M.D.
• Melissa Gerfin, DO
• Joyce Gergich, SLP
• Sowania Claudie Germain, LMHC
• John William German, MD
• Misty Germann
• Victoria Ryan Gero
• Taylor Marie Gerrain, OTD

• Geriatric Psychiatry Physician in Albany, NY
• Providers in Albany, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.