Organization Active NPI

Gail Demarco, PHD

  • Clinical Psychologist
  • Niantic, CT
National Provider Identifier
1992241780
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002381 Issued in CT
Legal business name
GAIL DEMARCO, PHD
Practice address
14 Ridgewood Rd
Niantic, CT 06357-2214
Phone
(860) 581-0161
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Gail Ann Demarco, PHD
Title
Clinical Psychologist
Phone
(860) 581-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002381 CT Primary

Addresses

Primary practice location

14 Ridgewood Rd
Niantic, CT 06357-2214

Mailing address

14 Ridgewood Rd
Niantic, CT 06357-2214
Phone (860) 581-0161

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1992241780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RIDGEWOOD RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572214",
            "telephone_number": "860-581-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RIDGEWOOD RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572214",
            "telephone_number": "860-581-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL DEMARCO, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-581-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.