Gary D. Ackerley, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2853 Issued in OH

Legal business name

GARY D. ACKERLEY, INC.

Practice address

305 E Stroop Rd
Dayton, OH 45429-2827

Phone

(937) 640-1432

Fax

(937) 294-3320

NPI assigned

Apr 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary D. Ackerley, PH.D.,ABPP

Title

President

Phone

(937) 640-1432

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912020876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E STROOP RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292827",
            "telephone_number": "937-640-1432",
            "fax_number": "937-294-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E STROOP RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292827",
            "telephone_number": "937-640-1432",
            "fax_number": "937-294-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D. ACKERLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACKERLEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-640-1432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,ABPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6159301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000328814",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patience Garrison
• Christina Garrity, PT
• Megan Garro, PT, DPT
• Julie E. Garvey, CNP
• Gary a Balster MD Inc
• Kiair Gary-Hill
• Sha'Kira Gary-Long, CDCA
• Crystal Gary, LSW
• Deonate Gary
• Alexis Michelle Garybush

• Clinical Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.