Organization Active NPI

Georgette Gavin PHD Inc

  • Psychologist
  • Oceanside, CA
National Provider Identifier
1114254828
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY17330 Issued in CA
Legal business name
GEORGETTE GAVIN PHD INC
Practice address
2344 Fire Mountain Dr
Oceanside, CA 92054-6117
Phone
(760) 420-1500
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Dr. Georgette Gavin, PH.D.
Title
Principal
Phone
(760) 420-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY17330 CA Primary

Addresses

Primary practice location

2344 Fire Mountain Dr
Oceanside, CA 92054-6117

Mailing address

2344 Fire Mountain Dr
Oceanside, CA 92054-6117
Phone (760) 420-1500

National Provider Directory

National Provider Directory

Locations

12250 El Camino Real
Ste 116
San Diego, CA 92130
Phone (760) 523-9412

2615 Camino del Rio S
Ste 202
San Diego, CA 92108
Phone (619) 523-9225

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1114254828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 FIRE MOUNTAIN DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546117",
            "telephone_number": "760-420-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 FIRE MOUNTAIN DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546117",
            "telephone_number": "760-420-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETTE GAVIN PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "760-420-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.