MRS. KETEVAN GAGNIDZE-MCCORMICK LMHC
NPI 1356661037
Counselor - Mental Health in Newburgh, NY
About Mrs. Ketevan Gagnidze-mccormick Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KETEVAN GAGNIDZE-MCCORMICK LMHC (NPI 1356661037) is an individual mental health provider in Newburgh, New York, licensed in New York (003123) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Mrs. Ketevan Gagnidze-mccormick Lmhc 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.
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 Ketevan Gagnidze-mccormick's NPI number?
The NPI number for Ketevan Gagnidze-mccormick is 1356661037. It was assigned to this individual provider in the NPPES registry on June 4, 2010.
Where is Ketevan Gagnidze-mccormick located?
Ketevan Gagnidze-mccormick practices at 10 Bruce St, Newburgh, NY 12550. The listed phone number is (845) 561-7284.
What is Ketevan Gagnidze-mccormick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ketevan Gagnidze-mccormick enrolled in Medicare?
Yes. Ketevan Gagnidze-mccormick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Ketevan Gagnidze-mccormick accept?
Health plans from Providence Health Plan and UnitedHealthcare list Ketevan Gagnidze-mccormick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ketevan Gagnidze-mccormick was last updated on June 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Mrs. Ketevan Gagnidze-Mccormick, LMHC · NPI 1356661037
Mental Health provider in Newburgh, New York. Individual provider, active in the CMS NPPES registry since June 4, 2010.
## Identity
- **NPI:** 1356661037 (Entity type: Individual)
- **Enumerated:** June 4, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 003123 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10 BRUCE ST, Newburgh, NY 12550-6602
- **Phone:** (845) 561-7284
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** June 4, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1356661037) · Data from the CMS NPPES public registry.