GFN Psychological Services, PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

018892 Issued in NY

Legal business name

GFN PSYCHOLOGICAL SERVICES, PC

Practice address

6701 Manlius Center Rd
Suite 111-192
East Syracuse, NY 13057-2999

Phone

(315) 218-6377

Fax

(315) 218-6377

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Theodore M Nnaji, PSYDNPI 1154623395

Title

Executive Director

Phone

(937) 304-5930

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Morgan Nnaji, PSYD

  • Clinical Psychologist
  • Liverpool, NY
  • NPI 1154623395
  Medicare reassignment NPD Authorized official
• Timothy J Schaub, D.C.

  • Chiropractor
  • Cortland, NY
  • NPI 1598972952
  NPD (past)

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1881991529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 MANLIUS CENTER RD",
            "address_2": "SUITE 111-192",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572999",
            "telephone_number": "315-218-6377",
            "fax_number": "315-218-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 MANLIUS CENTER RD",
            "address_2": "SUITE 111-192",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572999",
            "telephone_number": "315-218-6377",
            "fax_number": "315-218-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GFN PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "NNAJI",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-304-5930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "018892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154623395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna L Gates, LPN
• Aubriea Gaulke
• Jennifer Cornish Genovese, MSW
• Wilma P George, NP
• Jessica L Gerrard, ATC
• Catherine Giamartino, MS/CAS
• Kristyna Hnizda Giancola, P.A.
• Vincenzo Giardina, PT
• Maria Grazia Gigante-Baggett, NURSE PRACTITIONER
• Jill Gillette, DPT

• Adult Mental Health Clinic/Center in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.