Gary Ankarlo, PHD
Individual provider Active NPI Clinical Psychologist · Oshkosh, WI
NPI 1013464023 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1013464023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2233 (WI)
- Practice address
- 414 Doctors CT
Oshkosh, WI 54901-2065 - Phone
- (920) 456-2030
- Fax
- (920) 456-2025
- NPI assigned
- Sep 7, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2233 | WI | Yes |
Addresses
Primary practice location
414 Doctors CT
Oshkosh, WI 54901-2065
Mailing address
414 Doctors CT
Oshkosh, WI 54901-2065
Phone (920) 456-2030
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.