Gavriella Mintz, PSY.D., MSED.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

021091 Issued in NY

Practice address

44 Oxford Rd
New Hartford, NY 13413-2660

Phone

(315) 223-8889

Fax

(315) 223-8890

NPI assigned

May 13, 2015

Last updated

May 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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

• New Hartford Psychological Services

  • Psychologist
  • New Hartford, NY
  • NPI 1275917650
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1699153460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 OXFORD RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132660",
            "telephone_number": "315-223-8889",
            "fax_number": "315-223-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OXFORD RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132660",
            "telephone_number": "315-223-8889",
            "fax_number": "315-223-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "GAVRIELLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MSED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne D Miller
• Sarah Miller, LCSW
• Stacy L Milliman
• Joanne L Millson, NP
• Mind Matters Therapy Services LCSW PLLC
• Aamer Mirza, M.D.
• Anna Maria Mirza, CCC-SLP
• Sandra A. Mizerak, LMHC,NCC
• Maria Christine Mody-Jones, D.C.
• Charles Richard Moeller, PH.D.

• Psychologist in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.