Saint Andrews Neuroscience(Medical Neuropsychiatry)LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

247603 Issued in NY

Legal business name

SAINT ANDREWS NEUROSCIENCE(MEDICAL NEUROPSYCHIATRY)LLC

Practice address

7 Fennell St Lowr Level
Skaneateles, NY 13152

Phone

(315) 857-5971

NPI assigned

May 18, 2018

Organization subpart

Yes

Parent organization

SAINT ANDREWS NEUROSCIENCE(MEDICAL NEUROPSYCHIATRY)LLCAs reported in NPPES

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

Authorized official

Name

Olumuyiwa Robbert Gay, MD

Title

Authorized Official

Phone

(315) 857-5971

Specialties & licenses 2

Addresses

Other names 1

• Skaneateles Psychiatry Doing business as

Part of

St Andrews Neuroscience LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Saint Andrews Neuroscience(Medical Neuropsychiatry)LLC

  • Psychiatry Physician
  • Binghamton, NY
  • NPI 1710282934
  NPPES parent name

Practitioners 1

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

• Tess W Walsh, MA, LCSW, CASAC

  • Clinical Social Worker
  • Skaneateles, NY
  • NPI 1295213130
  NPD

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1639660277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FENNELL ST LOWR LEVEL",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521196",
            "telephone_number": "315-857-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FENNELL ST LOWR LEVEL",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "13152",
            "telephone_number": "315-857-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANDREWS NEUROSCIENCE(MEDICAL NEUROPSYCHIATRY)LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT ANDREWS NEUROSCIENCE(MEDICAL NEUROPSYCHIATRY)LLC",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "OLUMUYIWA",
        "authorized_official_middle_name": "ROBBERT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "315-857-5971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "101416",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "247603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skaneateles Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Christopher Reynolds, PA-C
• Peggy W Richards, MA EDUCATION
• Amanda Courtney Rose, PSYD
• Linda R. Rossi, EDD, MS, APRN, BC
• Charles Joseph Ryan III, M.D.
• Debra L Sandbrook
• Trudy Raveaux Scarr, R.N.
• David Lee Schultz, MS, ATC
• Gary J Schwartz, LMHC BCN
• Kathryn J Schylinski, RN NP

• Psychiatry Physician in Skaneateles, NY
• Providers in Skaneateles, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.