Fulton Family Psychiatry PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FULTON FAMILY PSYCHIATRY PC

Practice address

451 S 4TH St
Fulton, NY 13069-2916

Phone

(315) 887-1059

NPI assigned

May 16, 2019

Last updated

Sep 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cecile MatipNPI 1811162787

Title

MD

Phone

(315) 887-1059

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecile Matip, MD

  • Psychiatry Physician
  • Oswego, NY
  • NPI 1811162787
  Medicare reassignment Authorized official
• Tammy Marie Rotonde, PA-C

  • Physician Assistant
  • Malone, NY
  • NPI 1578123139
  Medicare reassignment
• David Campanile, MD

  • Pain Medicine (Anesthesiology) Physician
  • Syracuse, NY
  • NPI 1174527063
  NPD (past)
• David C Canfield, MD

  • Anesthesiology Physician
  • Syracuse, NY
  • NPI 1336143221
  NPD (past)
• Yves Jacques Lafond, M.D.

  • Internal Medicine Physician
  • Fulton, NY
  • NPI 1164467031
  NPD (past)
• Joseph Mora, MD

  • Anesthesiology Physician
  • Syracuse, NY
  • NPI 1386648285
  NPD (past)
• Bartholemew Natoli, MD

  • Anesthesiology Physician
  • Syracuse, NY
  • NPI 1821092727
  NPD (past)
• Scott M Reizun, MD

  • Anesthesiology Physician
  • Syracuse, NY
  • NPI 1366446262
  NPD (past)
• Craig S Reynolds, MD

  • Anesthesiology Physician
  • Syracuse, NY
  • NPI 1215931142
  NPD (past)
• Jeffrey Schaffel, MD

  • Anesthesiology Physician
  • Syracuse, NY
  • NPI 1174527071
  NPD (past)
• Janelle M Jakobi, PA-C

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1538710363
  NPD (past)
• Burton G Schaber

  • Medical Physician Assistant
  • Portland, OR
  • NPI 1457082075
  NPD (past)

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1912563867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109520380",
            "telephone_number": "718-534-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S 4TH ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692916",
            "telephone_number": "315-887-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON FAMILY PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "MATIP",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-887-1059"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank J. Fruce, D.M.D.
• Marsha Ann Fuller I, LPN
• Fulton City School District
• Fulton Dental Health Assoc
• Fulton Family Medicine Practice PC
• Kathy Lyn Furbeck
• Virginia Galvin
• Tiffany Jane Gentile, MS LMHC CEDS NCC CAS
• Kayla M Gerlach, LMSW
• David A Gilmore, D.O.

• Psychiatry Physician in Fulton, NY
• Providers in Fulton, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.