MARILYN ANN GEWACKE (NPI# 1861514374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861514374 |
| Entity Type | Individual |
| Full Name | MARILYN ANN GEWACKE |
| Credential | PH.D. |
| Practice Address |
1 Columbia Pl Albany NY 12207-1006 |
| Mailing Address |
100 Wolfs Den Rd East Nassau NY 12062-1909 |
| Practice Telephone | 5184497901 |
| Mailing Telephone | 5184497901 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
006617-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1 COLUMBIA PL |
| City | ALBANY |
| State | NY |
| Zip Code | 12207-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962626101 | Diane Saunders | Social Worker | 1 Columbia Pl, Albany, NY 12207-1006 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
| 1770020562 | Laura Mahoney | Dental Hygienist | 950 Lark Drive, Albany, NY 12207 | 2017-01-31 |
| 1003282880 | Hala Awad | Pharmacist | 17 21 N Pearl St, Albany, NY 12207 | 2015-08-17 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1275896805 | Deidre Romanski | Case Manager/Care Coordinator | 112 State Street Room 300, Albany, NY 12207 | 2012-06-19 |
| 1124325394 | Devon Clough | Registered Nurse | 3 Ecomm Square, Albany, NY 12207 | 2011-02-23 |
| 1336459825 | Elina Tsenter | Specialist | 112 State Street, Room 300, Albany, NY 12207 | 2010-10-18 |
| 1750609137 | Michele Monforte Papol | Registered Nurse | 3 East Commerce Square, Albany, NY 12207 | 2010-05-11 |
| 1982842704 | Richard Stuarts Metzger | Pharmacist | 418 Broadway, Albany, NY 12207 | 2009-02-02 |
| 1467639245 | Daniella Rodrigues Ferri | Pharmacist | 1721 North Pearl St, Albany, NY 12207 | 2008-01-24 |
| Find all providers in zip 12207 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867314 | Sheri Lynn Mainquist | Psychologist | 850 Stannage Ave Apt 5, Albany, CA 94706-1642 | 2020-06-25 |
| 1528687399 | Rachel Magin | Psychologist | 2 Clara Barton Dr # Mc164, Albany, NY 12208-3472 | 2020-04-13 |
| 1346707270 | Matthew Golley | Psychologist | Samuel S. Stratton Vamc, 113 Holland Avenue, Albany, NY 12208 | 2019-02-27 |
| 1346739950 | James Franklin Boswell | Psychologist | Social Science 399 1400 Washington Avenue, Albany, NY 12222-0001 | 2018-05-09 |
| 1013417286 | Linda Renee Bockheim | Psychologist | 425 2nd Ave Sw Ste 204, Albany, OR 97321-2485 | 2018-02-14 |
| 1700384468 | G.h. Wilber, Psy.d., Pllc | Psychologist | 5 Pine West Plz Ste 511, Albany, NY 12205-5587 | 2018-01-29 |
| 1447775200 | Heidi Rochelle Wright | Psychologist | 1365 Washington Ave Ste 102a, Albany, NY 12206-1098 | 2017-08-13 |
| 1366995508 | Supriya Blair | Psychologist | 1 Ten Broeck St Ste 1, Albany, NY 12210-2521 | 2016-07-24 |
| 1225411341 | Bradley Biggsphd Psychologist P.C. | Psychologist | 142 N Allen St, Suite C, Albany, NY 12206-1700 | 2015-07-07 |
| 1215339171 | Mary Kathleen O'neill | Psychologist | 314 South Manning Blvd., Albany, NY 12208 | 2014-09-23 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on MARILYN ANN GEWACKE.
| 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.