Michael Gayle

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002742 Issued in NY

Practice address

104 Cone PL
Leeds, NY 12451-1503

Phone

(518) 965-8473

NPI assigned

Jun 18, 2022

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2022.

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1720719081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CONE PL",
            "city": "LEEDS",
            "state": "NY",
            "postal_code": "124511503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CONE PL",
            "city": "LEEDS",
            "state": "NY",
            "postal_code": "124511503",
            "telephone_number": "518-965-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Beojekian-Pena, DC
• Marlene E Berlt, RN
• Lacey Angle Collins, RN
• Kaitlyn Rezny, LCSW, PLLC
• Skyler Rose Kelly, RN
• Jadee Lynn Kohler, LPN
• Deirdre T Lupoli, LCSW-R
• Kaitlyn Rezny, LCSW

• All providers in Leeds, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.