Gaetano Vaccaro, PHD

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

PSY26314 Issued in CA

Practice address

33749 Sky Blue Water TRL
Cathedral City, CA 92234-4453

Phone

(323) 806-3227

NPI assigned

Feb 17, 2011

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225335722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2332",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922352332",
            "telephone_number": "323-806-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33749 SKY BLUE WATER TRL",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344453",
            "telephone_number": "323-806-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "GAETANO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2025-09-11",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY26314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verenice Elizabeth Torres
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• Nhung Cam Truong
• Tiffany Trinh Truong, RPH
• Maria Tsopels, PH.D.
• Brenda Valdez Nava
• Lindsey Hernandez Valenzuela, PHARM D
• Michelle A Valenzuela, PPS
• Isaac Valles
• Robert Gerard Vandyke, LPT

• Addiction (Substance Use Disorder) Psychologist in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Addiction (Substance Use Disorder) Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.