Robert Vincent Gerard, METAPHYSIC PSYCHOLOG

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

110 La Grange St
Binghamton, NY 13905-1718

Phone

(607) 724-2438

NPI assigned

Nov 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Zeljka Roksandic Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1588178883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LA GRANGE ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051718",
            "telephone_number": "607-724-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LA GRANGE ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051718",
            "telephone_number": "607-724-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "ROBERT",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "METAPHYSIC PSYCHOLOG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZELJKA",
            "last_name": "ROKSANDIC",
            "prefix": "MRS.",
            "credential": "TEACHER, ENTREPRENEU",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stacy Gehm, CRNA
• Thomas Owen Genese, MD MBA FACP
• Parker Gennett, DPM
• Gegin George
• Zoya George, PHARMD
• Makda Gezehay
• Teresa Giammarino
• Deborah K Giannone, NP
• Brent Anthony Gibson, RN
• Cathi Ann Gil, LMSW

• Adult Day Care Clinic/Center in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.