Active NPI
Gabriella Pucci
- Student in an Organized Health Care Education/Training Program
- Columbus, OH
National Provider Identifier
1477177913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4041 N High St Ste 102
Columbus, OH 43214-3248 - Phone
- (614) 431-1418
- NPI assigned
- Jun 1, 2020
- Last updated
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4041 N High St Ste 102
Columbus, OH 43214-3248
Mailing address
4041 N High St Ste 102
Columbus, OH 43214-3248
Other practice location 1
106 Starret St
Lancaster, OH 43130-3993
Phone (740) 687-0042
Other practice location 2
1 Ohio University Dept of Psychology
Porter Hall Room 002
Athens, OH 45701
Phone (203) 246-3503
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio University Psychology and Social Work Clinic | Past | Accepting new patients |
Interoperability endpoints
- gpucci2285701@direct.ochsner.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Athens, OH
- NPI 1972723971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1477177913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 N HIGH ST STE 102",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 N HIGH ST STE 102",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143248",
"telephone_number": "614-431-1418"
}
],
"practiceLocations": [
{
"address_1": "106 Starret St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "OH",
"postal_code": "431303993",
"country_code": "US",
"telephone_number": "740-687-0042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY",
"address_2": "PORTER HALL ROOM 002",
"address_purpose": "LOCATION",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"country_code": "US",
"telephone_number": "203-246-3503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUCCI",
"first_name": "GABRIELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Psyched LLC
- Psychological and Academic Consulting and Evaluation LLC (PACE Consulting)
- Psychological Associates Inc.
- Psychologist Educator Advocate Consultant Erudite Task Force (Peace Task Force)
- Ptek Solutions
- Breanna Puckett
- Meredith McCauley Puckett, RPH
- Sandra Z Puckett, LISW
- Sierra Puckett
- Tracey Lee Puckett Sr., CDCA, QMHS, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.