Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Skaneateles Psychiatry, PLLC

Organization Clinical Social Worker · NPI 1306450416

Skaneateles Psychiatry, PLLC is a Clinical Social Worker in Skaneateles, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4361 Jordan Rd
Skaneateles, NY 13152-9334
Phone: (315) 685-5157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1306450416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olumuyiwa Gay — Owner · (315) 857-5971
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 4, 2020
Certification dateSeptember 4, 2020
Mailing address4361 Jordan Rd, Skaneateles, NY 13152-9334

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