Individual provider Active NPI

Thomas E. Gift, M.D.

  • Psychiatry Physician
  • Honeoye Falls, NY
National Provider Identifier
1619029402
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
120846 Issued in NY
Practice address
670 Cheese Factory Rd
Honeoye Falls, NY 14472-9736
Phone
(585) 624-3748
NPI assigned
Jan 18, 2007
Last updated
Feb 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 120846 NY Primary
Addiction Psychiatry Physician 2084P0802X 120846 NY
Child & Adolescent Psychiatry Physician 2084P0804X 120846 NY

Addresses

Primary practice location

670 Cheese Factory Rd
Honeoye Falls, NY 14472-9736

Mailing address

670 Cheese Factory Rd
Honeoye Falls, NY 14472-9736
Phone (585) 624-3748

Other identifiers 1

IdentifierTypeStateIssuer
00137798MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080728000617 NY Practitioner - Psychiatry 4385718105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
120846NYMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Connection, Inc. CurrentSince Oct 6, 2017 Accepting new patients

Locations

595 Blossom Rd
Ste 312
Rochester, NY 14610
Phone (585) 287-5636

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1619029402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 CHEESE FACTORY RD",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144729736",
            "telephone_number": "585-624-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CHEESE FACTORY RD",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144729736",
            "telephone_number": "585-624-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFT",
        "first_name": "THOMAS",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "120846",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "120846",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "120846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00137798",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honeoye Falls, NY

Sources for this page

Verify at the official NPI Registry.