DR. GINA M FERRANDINO (NPI# 1891805016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891805016 |
| Entity Type | Individual |
| Full Name | DR. GINA M FERRANDINO |
| Other Name | DR. GINA M FERRANDINO |
| Credential | PSY.D |
| Practice Address |
27485 Three Mile Point Rd Chaumont NY 13622-2187 |
| Practice Telephone | 6097743559 |
| Practice Fax Number | 3157722558 |
| Mailing Telephone | 6097743559 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 35SI00364100 | NJ | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00364100 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6941206 | 05 |
| Street Address |
27485 THREE MILE POINT RD |
| City | CHAUMONT |
| State | NY |
| Zip Code | 13622-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477701589 | Kathleen Marie Robie | Registered Nurse | 10281 Duck Harbor Rd, Chaumont, NY 13622 | 2008-09-03 |
| 1245384676 | Lyme Central School District | Local Education Agency (LEA) | 11868 Academy Street, Chaumont, NY 13622-0219 | 2007-01-23 |
| 1124677083 | Matthew Klock | Pharmacist | 31187 Ashland Rd, Chaumont, NY 13622-2197 | 2019-09-04 |
| 1992055909 | Alicia Habershaw | Pharmacist | 28675 County Route 54, Chaumont, NY 13622-2414 | 2012-09-17 |
| 1255748463 | Christopher Lee Vincent | Licensed Practical Nurse | 28324 County Route 54, Chaumont, NY 13622-2416 | 2014-07-20 |
| 1316357908 | Tracy Coolidge | Licensed Practical Nurse | 10795 Cheever Rd, Chaumont, NY 13622-3209 | 2014-05-05 |
| 1144797150 | Celina Ostrander | Speech-Language Pathologist | 11868 Academy St, Chaumont, NY 13622-7709 | 2018-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124677083 | Matthew Klock | Pharmacist | 31187 Ashland Rd, Chaumont, NY 13622-2197 | 2019-09-04 |
| 1144797150 | Celina Ostrander | Speech-Language Pathologist | 11868 Academy St, Chaumont, NY 13622-7709 | 2018-10-29 |
| 1255748463 | Christopher Lee Vincent | Licensed Practical Nurse | 28324 County Route 54, Chaumont, NY 13622-2416 | 2014-07-20 |
| 1316357908 | Tracy Coolidge | Licensed Practical Nurse | 10795 Cheever Rd, Chaumont, NY 13622-3209 | 2014-05-05 |
| 1992055909 | Alicia Habershaw | Pharmacist | 28675 County Route 54, Chaumont, NY 13622-2414 | 2012-09-17 |
| 1477701589 | Kathleen Marie Robie | Registered Nurse | 10281 Duck Harbor Rd, Chaumont, NY 13622 | 2008-09-03 |
| 1245384676 | Lyme Central School District | Local Education Agency (LEA) | 11868 Academy Street, Chaumont, NY 13622-0219 | 2007-01-23 |
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.