Individual provider Active NPI

Gina Maria Cosgrove, PSY.D.

  • Psychologist
  • Clifton Park, NY
National Provider Identifier
1467660209
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
014580 Issued in NY
Practice address
6 Chelsea PL Ste 202
Clifton Park, NY 12065-3236
Phone
(518) 982-1886
Fax
(518) 734-0276
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 014580 NY
Psychologist 103T00000X 014580 NY Primary

Addresses

Primary practice location

6 Chelsea PL Ste 202
Clifton Park, NY 12065-3236

Mailing address

50 Michelle Dr
Clifton Park, NY 12065-1670
Phone (518) 373-8944

Other practice location 1

101 State St
Schenectady, NY 12305-1707
Phone (518) 346-0762

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1467660209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MICHELLE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651670",
            "telephone_number": "518-373-8944",
            "fax_number": "518-346-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHELSEA PL STE 202",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653236",
            "telephone_number": "518-982-1886",
            "fax_number": "518-734-0276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 State St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123051707",
            "country_code": "US",
            "telephone_number": "518-346-0762",
            "fax_number": "518-346-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "GINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "014580",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.