Geraldine Gabriel LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GERALDINE GABRIEL LLC

Practice address

300 Main St Ste 21638
Madison, NJ 07940-2369

Phone

(973) 302-5290

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Geraldine Gabriel, DNP, PMHNP, FNPNPI 1114435864

Title

Owner

Phone

(973) 283-5985

Specialties & licenses 1

Addresses

Other names 1

• Psyche Wellness Group Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Geraldine Gabriel

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, NJ
  • NPI 1114435864
  NPD (past) Authorized official

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1497471007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST STE 21-638",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402369",
            "telephone_number": "973-283-5985",
            "fax_number": "531-200-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST STE 21638",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402369",
            "telephone_number": "973-302-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALDINE GABRIEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-283-5985",
        "authorized_official_credential": "DNP, PMHNP, FNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.psychewellnessgroup.com",
            "affiliation": "N",
            "endpointDescription": "Site",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 Main St Ste 21638",
            "city": "Madison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079402369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Psyche Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psyche Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristian-Andrew Gabot, DPT
• Joan Marie Galbraith, APN,C
• Colleen Geier, M.A., CCC-SLP
• Madison Geis
• Amanda J. George, APN
• Kristen Dana Giancaterino, LAC
• Kyra Ann Gil, LAC
• Gloria T. Paknis, MSW, LLC
• Roberto Sabellano Go Jr., P.T.
• Yusun Gohard, DDS

• Psychiatry Physician in Madison, NJ
• Providers in Madison, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.