Active NPI
Caitlyn Bailey Gumaer, PHD, BCBA
- Psychologist
- San Diego, CA
National Provider Identifier
1083141956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB94027285
- Practice address
- 3685 Kearny Villa Rd
San Diego, CA 92123-1950 - Phone
- (858) 966-7453
- Fax
- (858) 966-8011
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB94027285 | CA | Primary |
| Behavior Analyst | 103K00000X | 1-15-17924 | CA | |
| Community Health Worker | 172V00000X | PSB94027285 | CA |
Addresses
Primary practice location
3685 Kearny Villa Rd
San Diego, CA 92123-1950
Mailing address
PO Box 2093
Laguna Hills, CA 92654-2093
Phone (562) 307-0520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94027285 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1083141956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2093",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926542093",
"telephone_number": "562-307-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3685 KEARNY VILLA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231950",
"telephone_number": "858-966-7453",
"fax_number": "858-966-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMAER",
"first_name": "CAITLYN",
"middle_name": "BAILEY",
"name_prefix": "Dr.",
"credential": "PHD, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB94027285",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-15-17924",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "PSB94027285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.