Individual provider Active NPI

Gerald Lee Cipkala-Gaffin, PH.D.

  • Clinical Psychologist
  • Wexford, PA
National Provider Identifier
1689749384
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006097L Issued in PA
Practice address
2523 Matterhorn Dr
Wexford, PA 15090-7963
Phone
(412) 916-7287
Fax
(724) 940-2363
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS006097L PA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PS006097L PA
Psychologist 103T00000X PS006097L PA
Adult Development & Aging Psychologist 103TA0700X PS006097L PA
Adult Development & Aging Psychologist 103TA0700X 4793 OH
Clinical Psychologist 103TC0700X 4793 OH
Psychologist 103T00000X 4793 OH
Clinical Child & Adolescent Psychologist 103TC2200X 4793 OH

Addresses

Primary practice location

2523 Matterhorn Dr
Wexford, PA 15090-7963

Mailing address

2523 Matterhorn Dr
Wexford, PA 15090-7963
Phone (724) 940-2363

Other identifiers 2

IdentifierTypeStateIssuer
0014761210002MedicaidPA
0160730MedicaidOH

Other names 1

  • Gerald Lee Gaffin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081001000303 PA Practitioner - Clinical Psychologist 5496823619 Practice locations: Wexford, PA
I20120222000720 OH Practitioner - Clinical Psychologist 5496823619 Practice locations: Girard, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2523 Matterhorn Dr
Wexford, PA 15090-7963
Phone (412) 916-7287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS006097LPAMDClinical Psychologist
4793OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1689749384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 MATTERHORN DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907963",
            "telephone_number": "724-940-2363",
            "fax_number": "724-940-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 MATTERHORN DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907963",
            "telephone_number": "412-916-7287",
            "fax_number": "724-940-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPKALA-GAFFIN",
        "first_name": "GERALD",
        "middle_name": "LEE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006097L",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS006097L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006097L",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "PA",
            "license": "PS006097L",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "OH",
            "license": "4793",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4793",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4793",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "4793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014761210002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160730",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALD",
            "last_name": "GAFFIN",
            "middle_name": "LEE",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.