MAXINE L GANN PH.D.
NPI 1417626383
Psychologist - Clinical in New York, NY

Q: What is Maxine Gann's NPI number?

The NPI number for Maxine Gann is 1417626383. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Q: What is Maxine Gann's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Maxine Gann was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 13, 2021

1199 PARK AVE APT 1K, NEW YORK, NY 10128(212) 860-3368 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Maxine L Gann Ph.d. NPPES

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

MAXINE L GANN PH.D. (NPI 1417626383) is an individual clinical provider in New York, New York, licensed in New York (7966) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1417626383

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMAXINE L GANNCredential: PH.D.

Location Address1199 PARK AVE APT 1KNew York, NY 10128-1713

Mailing Address1199 Park Ave Apt 1kNew York, NY 10128-1713 · (212) 860-3368

Phone(212) 860-3368

Sole ProprietorYes

Enumeration DateSeptember 13, 2021

NPPES CertifiedSeptember 13, 2021

✔ NPI 1417626383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 7966✔ Licensed in CA · 6675

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1199 PARK AVE APT 1K, New York, NY 10128

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Maxine Gann's NPI number?

The NPI number for Maxine Gann is 1417626383. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Maxine Gann located?

Maxine Gann practices at 1199 Park Ave Apt 1K, New York, NY 10128. The listed phone number is (212) 860-3368.

What is Maxine Gann's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Maxine Gann was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.