Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1902568389 Deactivated / Inactive NPI Male Practitioner

Stephen D Gill

Peer Specialist • Harrison, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephen Gill has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2021
NPI Deactivation Date June 05, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Stephen Gill was a registered Peer Specialist practicing in Harrison, NY. Throughout an active medical career spanning 3 years, Stephen Gill provided care at the practice location at 275 NORTH ST until profile deactivation on 2024-06-05.

Practice Location & Contact Primary Location

Practice Address

275 North St

Harrison, NY 105281140

Telephone 9149255309
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Harrison, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Harrison, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Rona Cummings , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1285881821

Registered Nurse

Lisa Gorman , MHC

Counselor - Mental Health

NPI 1457928707
Hope Huff

Peer Specialist

NPI 1477100980
NPI 1538568613

Licensed Master Social Worker, CASAC

Jennifer Moskowitz , MS, R-DMT

Counselor - Mental Health

NPI 1568954998

Master of Science, RDMT

Glenn Slaby

Peer Specialist

NPI 1811869811

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 05, 2024

Record deactivated on June 05, 2024

NPI Profile Active October 12, 2021

NPI status registered as active in NPPES database

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Updated Practice Location October 12, 2021

Registered at 275 NORTH ST, HARRISON, NY 105281140 (Tel: 9149255309)

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Updated Business Mailing Address October 12, 2021

Registered at 275 NORTH ST, HARRISON, NY 105281140 (Tel: 9149255309)

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Provider Name / Credentials Updated October 12, 2021

Recorded as STEPHEN GILL

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Peer Specialist

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Initial NPI Registration & Enumeration October 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902568389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2021
Last Update: October 12, 2021
Deactivation Date: June 05, 2024

Mailing Address

275 North St

Harrison, NY 105281140

Phone: 9149255309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.