Gazoo Diagnostic Assessment LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GAZOO DIAGNOSTIC ASSESSMENT LLC

Practice address

421 S State St
Clarks Summit, PA 18411-1684

Phone

(570) 983-4047

NPI assigned

Jul 2, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Corey Gazoo, PSY.D.

Title

Clinical Psychologist

Phone

(570) 983-4047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1497672117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111684",
            "telephone_number": "570-983-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111684",
            "telephone_number": "570-983-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 E Grove St",
            "address_purpose": "LOCATION",
            "city": "Clarks Green",
            "state": "PA",
            "postal_code": "184111794",
            "country_code": "US",
            "telephone_number": "570-983-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAZOO DIAGNOSTIC ASSESSMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "GAZOO",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-983-4047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jennifer Frattali, MD
• William Gagliardi Jr., PT
• Kara Gale
• Francisco L Garcia Jr., M.D.
• Georgeanna Gawrys, LSW
• Geisinger Clinic
• Geisinger Clinic
• Geisinger Clinic
• Hilary Lyn Genasevich, PSY.D.
• Andrea Genello, PSY. D.

• Clinical Psychologist in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.