Organization Active NPI

Rachel M Gill LCSW PLLC

  • Community/Behavioral Health Agency
  • Buffalo, NY
National Provider Identifier
1972108397
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RACHEL M GILL LCSW PLLC
Practice address
90 Sylvan Pkwy
Buffalo, NY 14228-1109
Phone
(716) 202-8854
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Rachel M GillNPI 1437447810
Title
Owner
Phone
(585) 500-8565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

90 Sylvan Pkwy
Buffalo, NY 14228-1109

Mailing address

90 Sylvan Pkwy
Buffalo, NY 14228-1109
Phone (716) 202-8854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205000344 NY Part B Supplier - Clinic/Group Practice 8729492525 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1972108397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SYLVAN PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142281109",
            "telephone_number": "716-202-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SYLVAN PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142281109",
            "telephone_number": "716-202-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL M GILL LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-500-8565"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.