Active NPI
Aniefiok Gaully
- Psychologist
- San Leandro, CA
National Provider Identifier
1134950264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 333 Estudillo Ave Ste 201
San Leandro, CA 94577-4717 - Phone
- (510) 221-6233
- NPI assigned
- Aug 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
333 Estudillo Ave Ste 201
San Leandro, CA 94577-4717
Mailing address
333 Estudillo Ave Ste 201
San Leandro, CA 94577-4717
Phone (510) 221-6233
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones Psychological Services | Multi-Specialty | Current | Accepting new patients |
Locations
333 Estudillo Ave
Ste 201
San Leandro, CA 94577
Phone (510) 221-6233
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1134950264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ESTUDILLO AVE STE 201",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774717",
"telephone_number": "510-221-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ESTUDILLO AVE STE 201",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774717",
"telephone_number": "510-221-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAULLY",
"first_name": "ANIEFIOK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-10",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.