Individual provider Active NPI

Gabrielle Thal-Pruzan

  • Social Worker
  • Pelham, NY
National Provider Identifier
1417868639
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
133437 Issued in NY
Practice address
629 Fifth Ave
Pelham, NY 10803-1251
Phone
(914) 368-2995
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 133437 NY Primary

Addresses

Primary practice location

629 Fifth Ave
Pelham, NY 10803-1251

Mailing address

66 Euclid Ave
Hastings on Hudson, NY 10706-1110
Phone (551) 265-5464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1417868639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 EUCLID AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061110",
            "telephone_number": "551-265-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031251",
            "telephone_number": "914-368-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAL-PRUZAN",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "133437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.