DR. AARON GLEASON PHD
NPI 1013013184
Psychologist - Clinical Child & Adolescent in Fayetteville, NY

Q: What is Aaron Gleason's NPI number?

The NPI number for Aaron Gleason is 1013013184. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Aaron Gleason's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Aaron Gleason was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment

6836 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 464-3191 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Aaron Gleason Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AARON GLEASON PHD (NPI 1013013184) is an individual clinical child & adolescent provider in Fayetteville, New York, licensed in New York (016774-1) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013013184

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. AARON GLEASONCredential: PHD

Location Address6836 E GENESEE STFayetteville, NY 13066-1024

Mailing Address560 Nottingham RdSyracuse, NY 13210-3429

Phone(315) 464-3191

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 16, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1013013184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NY · 016774-1

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 016774-1 (NY)

6836 E GENESEE ST, Fayetteville, NY 13066

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Other Identifiers 1

Medicaid02782387NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Aaron Gleason Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789853805

PECOS Enrollment IDI20160329000042

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER P. CEDERQUIST MSW

Social Worker (Clinical)