Richard Jay Gaynor, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2620 Issued in OH

Practice address

2450 Kipling Ave
Suite 100
Cincinnati, OH 45239-6600

Phone

(513) 542-4177

Fax

(513) 542-9222

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679636807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 SPRINGROCK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511931",
            "telephone_number": "513-385-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 KIPLING AVE",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396600",
            "telephone_number": "513-542-4177",
            "fax_number": "513-542-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYNOR",
        "first_name": "RICHARD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2620",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0936812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Gay, PSS, IPS
• Walter E. Gay Jr., D.D.S.
• Brandy Gayheart
• Gayle J. Karhoff, Inc.
• William Michael Gaynier, D.O
• Dawn L Gazaway
• Takol Gazaway
• Casey Ryan Gazza, MD
• Michel Gballou
• GC Home Health Inc.

• Clinical Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.