Jessica Gaines

Primary specialty

Art TherapistTaxonomy code 221700000X

Practice address

66 Pine St
New City, NY 10956-6236

Phone

(914) 348-3040

NPI assigned

Sep 13, 2022

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

Practice roles

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.

• Erica Smuckler, LCSW, P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Nyack, NY
  • NPI 1003536699
  NPD
• The Bridge, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1831269315
  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1861114332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PINE ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566236",
            "telephone_number": "914-348-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PINE ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566236",
            "telephone_number": "914-348-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Gerdes Fultz, RDN
• Michele Furmanek, M.A.CCC SLP
• Kimberly D Furphy
• Remon Gad, PT
• Evan Bradley Gaines, MD
• Danielle Dawn Galasso, LMT
• Colleen Gallagher
• Kristi Galli, FNP
• Jillian Annmarie Gallo
• Catherine Lena Galluzzo, RDN, CDN

• Art Therapist in New City, NY
• Providers in New City, NY by specialty
• Art Therapist in New York

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