LESLIE GELLIS (NPI# 1336552959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336552959 |
| Entity Type | Individual |
| Full Name | LESLIE GELLIS |
| Other Name | LES GELLIS |
| Credential | PH.D |
| Practice Address |
804 University Ave 201 Syracuse NY 13210-1721 |
| Practice Telephone | 3154433595 |
| Mailing Telephone | 3154433595 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
018822-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
804 UNIVERSITY AVE 201 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310632 | Syracuse University | Psychologist | 804 University Ave, Suite 201, Syracuse, NY 13244-2340 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723453 | Teresa Jean Barrett | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-11-06 |
| 1467579730 | Henry S Roane | Psychologist | 600 East Genesee St, Suite 130, Syracuse, NY 13202 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768916 | Shari Kohn | Psychologist | 20 Shadow Ln, Woodbury, NY 11797-2222 | 2020-10-18 |
| 1770180325 | Jonathan Rosen | Psychologist | 1760 2nd Ave Apt 18a, New York, NY 10128-5392 | 2020-10-07 |
| 1245837855 | Aunree J. Houston | Psychologist | 400 W 37th St Apt 10y, New York, NY 10018-5631 | 2020-10-06 |
| 1255944377 | Mindwell Center, LLP | Psychologist | 950 Danby Rd Ste 202f, Ithaca, NY 14850-5714 | 2020-08-28 |
| 1417575754 | Donato Vaccaro | Psychologist | 40 Deerfield Ave, Eastchester, NY 10709-3805 | 2020-07-13 |
| 1902432511 | Nancy Langdon | Psychologist | 410 Fort Salonga Rd, Northport, NY 11768-3046 | 2020-03-14 |
| 1386281376 | Grand Central Psychology Pllc | Psychologist | 50 E 42nd St Rm 1807, New York, NY 10017-5402 | 2019-12-09 |
| 1730722232 | Shimon N Littman | Psychologist | 495 W 187th St Apt 5e, New York, NY 10033-1521 | 2019-10-28 |
| 1821645367 | Rd Community Services LLC | Psychologist | 1049 38th St Ste B, Brooklyn, NY 11219-1012 | 2019-08-20 |
| 1881250041 | New Perspective Psychological Services | Psychologist | 1170a Ocean Ave, Brooklyn, NY 11230-1904 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
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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.