Individual provider Active NPI

Richard Giaccio, M.D.

  • Psychiatry Physician
  • Syracuse, NY
National Provider Identifier
1659413045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
135163 Issued in NY
Practice address
620 Madison St
Syracuse, NY 13210-2319
Phone
(315) 426-3600
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 135163 NY Primary

Addresses

Primary practice location

620 Madison St
Syracuse, NY 13210-2319

Mailing address

1508 Park St
Syracuse, NY 13208-1620

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
I20071219000409 NY Practitioner - PsychiatryPractitioner - NeurologyPractitioner - NephrologyPractitioner - Neuropsychiatry 8628168267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Nephrology, Neurology, Neuropsychiatry
Education
State University of New York at Buffalo School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Counseling Services IncGroup PAC ID 5890734537, 8 clinicians

Practice addresses (Care Compare)

17 E Genesee St
FL 2
Auburn, NY 13021-4040
Phone (315) 253-9795

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Counseling Services Inc CurrentSince Feb 1, 2011 Accepting new patients
Onondaga Pastoral Counseling Center Inc Past Accepting new patients
Madison County Past Accepting new patients

Locations

17 E Genesee St
Fl 2
Auburn, NY 13021
Phone (315) 253-9795

17 E Genesee St
Auburn, NY 13021
Phone (315) 253-9795

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659413045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 PARK ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MADISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102319",
            "telephone_number": "315-426-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACCIO",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "135163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.