Individual provider Active NPI

Daniella Prashanti Gavito, M.D.

  • Child & Adolescent Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1003343518
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
53818 Issued in KY
Practice address
245 Fountain CT # 225
Lexington, KY 40509-1888
Phone
(859) 323-6021
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 53818 KY Primary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X BP10060940 TX

Addresses

Primary practice location

245 Fountain CT # 225
Lexington, KY 40509-1888

Mailing address

2637 Old Rosebud Rd
Lexington, KY 40509-4478
Phone (832) 517-8099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, NC, LA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190228000503 TX Practitioner - Psychiatry 3375882897 Reassigns benefits to 3 organizations
I20231220001058 KY Practitioner - Psychiatry 3375882897 Reassigns benefits to 3 organizations
I20250421000505 NC Practitioner - Psychiatry 3375882897 Reassigns benefits to 4 organizations
I20250425000702 LA Practitioner - Psychiatry 3375882897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront-Matteson Medical Services PC 12 clinicians
Garner Behavioral Hospital LLC 23 clinicians

Practice addresses (Care Compare)

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (972) 449-0540

2810 Coliseum Centre Dr
Suite 120
Charlotte, NC 28217-3255
Phone (972) 449-0540

3200 Waterfield Dr
Garner, NC 27529-7727
Phone (919) 502-1187

Hospital & facility affiliations

  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10060940TXMDPsychiatry Physician
53818KYMDChild & Adolescent Psychiatry Physician

Practice roles (11 of 17)

OrganizationSpecialtyStatusNew patients
Ridge Outpatient Counseling, LLC Single Specialty CurrentSince Oct 22, 2023 Accepting new patients
Sondermind Provider Network LLC Single Specialty CurrentSince Apr 3, 2025 Accepting new patients
Mind Vibe PC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Forefront-Matteson Medical Services PC Single Specialty CurrentSince May 5, 2025 Accepting new patients
Garner Behavioral Hospital, LLC Single Specialty CurrentSince Sep 10, 2025 Accepting new patients
Forefront Telecare Inc Single Specialty CurrentSince Mar 18, 2025 Accepting new patients
Access Telecare, PLLC Single Specialty CurrentSince Apr 17, 2025 Accepting new patients
Brynn Marr Hospital Inc Single Specialty CurrentSince May 4, 2025 Accepting new patients
DLP Wilson Medical Center LLC Past Accepting new patients
Garner Behavioral Hospital, LLC Past Accepting new patients
Uhs of Ridge LLC Past Accepting new patients

Locations

3050 Rio Dosa Dr
Lexington, KY 40509
Phone (859) 268-6475

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

192 Village Dr
Jacksonville, NC 28546
Phone (910) 577-1400

7777 Southwest Fwy
Ste 934
Houston, TX 77074
Phone (346) 556-1185

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • KY PPO
  • TN PPO
  • KY PPO C-SNP
  • TN PPO C-SNP
  • OH PPO

Interoperability endpoints

  • Direct secure messaging: daniella.gavito.1@24287.direct.athenahealth.com
  • Direct secure messaging: dgavito16783@ukhcdirect.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1003343518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 OLD ROSEBUD RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094478",
            "telephone_number": "832-517-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FOUNTAIN CT # 225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091888",
            "telephone_number": "859-323-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVITO",
        "first_name": "DANIELLA",
        "middle_name": "PRASHANTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "53818",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10060940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.