Gregory Arthur Fabiano, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017176 Issued in NY

Practice address

699 Hertel Ave
Suite 355
Buffalo, NY 14207-2341

Phone

(716) 877-4204

NPI assigned

Jun 17, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1659710333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 HERTEL AVE",
            "address_2": "SUITE 355",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142072341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 HERTEL AVE",
            "address_2": "SUITE 355",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142072341",
            "telephone_number": "716-877-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIANO",
        "first_name": "GREGORY",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ez Taxi
• Lynne M. Ezzell
• Douglas Blaine Fabian, LICENSED SOCIAL WORK
• Tiffany Marie Fabian, DNP
• Andrew Joseph Fabiano, MD
• Tiffany Nicole Fabiano, NP
• Sara Lynn Fabozzi, MT-BC
• Christopher Raymond Facompre, PHD
• Francois Fadell, M.D.
• Dara Faden, PA-C

• Clinical Psychologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.