Individual provider Active NPI

Jamie L Ghany, PHD

  • Behavior Analyst
  • Fayetteville, NY
National Provider Identifier
1942504691
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
017558-1 Issued in NY
Practice address
7000 E Genesee St
Fayetteville, NY 13066-1131
Phone
(315) 956-4236
NPI assigned
Jan 10, 2011
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 017558-1 NY Primary

Addresses

Primary practice location

7000 E Genesee St
Fayetteville, NY 13066-1131

Mailing address

7000 E Genesee St
Fayetteville, NY 13066-1131
Phone (315) 956-4236

Other names 1

  • Jamie L Ghany Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120807000052 NY Practitioner - Clinical Psychologist 6305020223 Practice locations: Fayetteville, NY
I20241003000693 CT Practitioner - Clinical Psychologist 6305020223 Practice locations: Somers, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Battle St
Somers, CT 06071-1629
Phone (315) 956-4236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
017558NYMDMental Health Counselor
017558-1NYMDBehavioral Analyst
004474CTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1942504691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-956-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-956-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANY",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "017558-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "GHANY",
            "middle_name": "L",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fayetteville, NY

Sources for this page

Verify at the official NPI Registry.