John Isaac Gerson, PH.D.
Individual provider Active NPI Psychologist · Katonah, NY
NPI 1508073131 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508073131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 013534 (NY)
- Practice address
- 215 Katonah Ave
Katonah, NY 10536-2138 - Phone
- (914) 232-4702
- Fax
- (914) 232-0257
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013534 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013534 | NY | Yes |
Addresses
Primary practice location
215 Katonah Ave
Katonah, NY 10536-2138
Mailing address
215 Katonah Ave
Katonah, NY 10536-2138
Phone (914) 232-4702
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.