Active NPI
Gary Robert Lancaster, PSY
- Psychologist
- Tuolumne, CA
National Provider Identifier
1215982632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY4671
- Practice address
- 18396 Tuolumne Road
Suite 9
Tuolumne, CA 95379 - Phone
- (209) 928-4816
- Fax
- (209) 928-3636
- NPI assigned
- May 24, 2006
- Sex
- Male
- 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 | PSY4671 | CA | Primary |
Addresses
Primary practice location
18396 Tuolumne Road
Suite 9
Tuolumne, CA 95379
Mailing address
PO Box 2080
Mact Health Board Inc
Tuolumne, CA 95379-2080
Phone (209) 928-4278
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY4671 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M a C T Health Board Incorporated | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- San Andreas, CA
- NPI 1366519431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215982632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2080",
"address_2": "MACT HEALTH BOARD INC",
"city": "TUOLUMNE",
"state": "CA",
"postal_code": "953792080",
"telephone_number": "209-928-4278",
"fax_number": "209-928-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18396 TUOLUMNE ROAD",
"address_2": "SUITE 9",
"city": "TUOLUMNE",
"state": "CA",
"postal_code": "95379",
"telephone_number": "209-928-4816",
"fax_number": "209-928-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "GARY",
"middle_name": "ROBERT",
"credential": "PSY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY4671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuolumne, CA
- Dennis Charles Dryden, DDS
- Flourish and Bloom, a Nursing PC
- Seth Holm, NURSE PRACTITIONER
- Kathleen A Homestead, RN
- Lawrence Eugene Horton, RPH
- Gloria Lee Lochridge, FNP
- Mark Glenn Maddox, DDS
- Maynord's Chemical Dependency Recovery Centers
- Nathaniel Methot, NP
- Margaret Mary Panella-Spangler, RPH, MS, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.