Nine Skies Psychotherapy LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NINE SKIES PSYCHOTHERAPY LCSW, PLLC

Practice address

4317 E Genesee St
Syracuse, NY 13214-2114

Phone

(315) 313-5564

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Gary Paul Weinstein, LCSWNPI 1922323898

Title

Owner

Phone

(315) 558-2645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Gary Paul Weinstein, LCSW-R

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1922323898
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1669218814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DEWITTSHIRE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142209",
            "telephone_number": "315-558-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142114",
            "telephone_number": "315-313-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINE SKIES PSYCHOTHERAPY LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-558-2645",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Nikolski, PHARM D, RPH
• Kathleen Niland
• Marilyn Joan Niland, FNP
• Julie Niles, OT
• Jill Nilles
• Jacqueline Ninkundiye
• Lindsay Rachel Nirenberg, MHC
• Emily Marie Nisco-Frank, LMFT
• Maranna Rose Nitcznski
• Andreea Diana Nitu, M.D.

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.