Individual provider Active NPI

Martin Gangley, PHD

  • Community/Behavioral Health Agency
  • Chandler, AZ
National Provider Identifier
1003477944
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
2820 S Alma School Rd Ste 18-506
Chandler, AZ 85286-4392
Phone
(520) 280-2967
NPI assigned
Jun 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2820 S Alma School Rd Ste 18-506
Chandler, AZ 85286-4392

Mailing address

2820 S Alma School Rd Ste 18-506
Chandler, AZ 85286-4392
Phone (520) 280-2967

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pms.therapysites.com/session_events/303610 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1003477944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 S ALMA SCHOOL RD STE 18-506",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864392",
            "telephone_number": "520-280-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 S ALMA SCHOOL RD STE 18-506",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864392",
            "telephone_number": "520-280-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGLEY",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pms.therapysites.com/session_events/303610",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2820 S Alma School Rd Ste 18-506",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852864392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.