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GABRIEL ISAIAH ANDREW CHISHOLM
NPI 1043187172
Counselor in Brentwood, NY

Active since October 22, 2025
14 ROOSEVELT ST, BRENTWOOD, NY 11717(631) 626-8388 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gabriel Isaiah Andrew Chisholm NPPES

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

GABRIEL ISAIAH ANDREW CHISHOLM (NPI 1043187172) is an individual counselor in Brentwood, New York and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1043187172
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameGABRIEL ISAIAH ANDREW CHISHOLM
Location Address14 ROOSEVELT STBrentwood, NY 11717-3212
Mailing Address14 Roosevelt StBrentwood, NY 11717-3212
Phone(631) 626-8388
Sole ProprietorYes
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1043187172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14 ROOSEVELT ST, Brentwood, NY 11717
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel Chisholm's NPI number?

The NPI number for Gabriel Chisholm is 1043187172. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Gabriel Chisholm located?

Gabriel Chisholm practices at 14 Roosevelt St, Brentwood, NY 11717. The listed phone number is (631) 626-8388.

What is Gabriel Chisholm's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Gabriel Chisholm was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.