Active NPI
Erin Gorter, PH.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1245580612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-005601
- Practice address
- 16620 N 40TH St BLDG I
Phoenix, AZ 85032-3348 - Phone
- (480) 801-0101
- Fax
- (602) 926-0352
- NPI assigned
- Sep 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY60284262 | WA | |
| Psychologist | 103T00000X | PSY-005601 | AZ | Primary |
Addresses
Primary practice location
16620 N 40TH St BLDG I
Phoenix, AZ 85032-3348
Mailing address
16620 N 40TH St BLDG I
Phoenix, AZ 85032-3348
Phone (480) 801-0101
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 |
|---|---|---|---|
| PSY-005601 | AZ | MD | Psychologist |
| PY60284262 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Study and Treatment Center | Past | Accepting new patients | |
| Action Behavior Centers Therapy LLC | Psychologist | Past | Accepting new patients |
| Action Behavior Centers, LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Lakewood, WA
- NPI 1487648721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1245580612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16620 N 40TH ST BLDG I",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323348",
"telephone_number": "480-801-0101",
"fax_number": "602-926-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16620 N 40TH ST BLDG I",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323348",
"telephone_number": "480-801-0101",
"fax_number": "602-926-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORTER",
"first_name": "ERIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60284262",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-005601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.