Active NPI
Anne Gersony Provet, PHD
- Psychologist
- Valhalla, NY
National Provider Identifier
1841361185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 011832
- Practice address
- Nymc Behavioral Health Center,
N326
Valhalla, NY 10595 - Phone
- (914) 493-7124
- Fax
- (914) 493-1015
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011832 | NY | Primary |
Addresses
Primary practice location
Nymc Behavioral Health Center,
N326
Valhalla, NY 10595
Mailing address
163 Great Oak Lane
Pleasantville, NY 10570
Phone (914) 773-7004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02976658 | Medicaid | NY |
Other names 1
- Anne Lyn Gersony
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011832 | NY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Psychiatric Associates, PC | Psychologist | Past | Accepting new patients |
| Westchester Faculty Psychological Associates PC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Valhalla, NY
- NPI 1003864729
Psychologist
-
- Psychologist
- Valhalla, NY
- NPI 1528080603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1841361185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 GREAT OAK LANE",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "10570",
"telephone_number": "914-773-7004",
"fax_number": "914-747-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NYMC BEHAVIORAL HEALTH CENTER,",
"address_2": "N326",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-7124",
"fax_number": "914-493-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVET",
"first_name": "ANNE",
"middle_name": "GERSONY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "011832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02976658",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "GERSONY",
"middle_name": "LYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.