Active NPI
Taryn Gammon, PHD
- Psychologist
- Carlsbad, CA
National Provider Identifier
1083994073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY31533
- Practice address
- 2564 State St Ste B
Carlsbad, CA 92008-1662 - Phone
- (760) 334-6262
- NPI assigned
- Aug 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY31533 | CA | Primary |
Addresses
Primary practice location
2564 State St Ste B
Carlsbad, CA 92008-1662
Mailing address
2564 State St Ste B
Carlsbad, CA 92008-1662
Phone (760) 334-6262
Other practice location 1
1963 4th Ave
San Diego, CA 92101-2394
Phone (619) 554-0633
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 |
|---|---|---|---|
| PSY31533 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1083994073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2564 STATE ST STE B",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081662",
"telephone_number": "760-334-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2564 STATE ST STE B",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081662",
"telephone_number": "760-334-6262"
}
],
"practiceLocations": [
{
"address_1": "1963 4th Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921012394",
"country_code": "US",
"telephone_number": "619-554-0633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMMON",
"first_name": "TARYN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY31533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.