Gary R Geffken, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY3729 Issued in FL

Practice address

2833 NW 41St St
Unit 140
Gainesville, FL 32606-6986

Phone

(352) 377-1426

Fax

(352) 376-5781

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gary Roy Geffken Other name

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1265473276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 NW 41ST ST",
            "address_2": "UNIT 140",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066986",
            "telephone_number": "352-377-1426",
            "fax_number": "352-376-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 NW 41ST ST",
            "address_2": "UNIT 140",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066986",
            "telephone_number": "352-377-1426",
            "fax_number": "352-376-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFKEN",
        "first_name": "GARY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3729",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042063800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "GEFFKEN",
            "middle_name": "ROY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter F. Gearen, MD
• Tanavia Vontae Geathers, CNA
• Ryan Gebrael
• Evan Ross Gedzelman, M.D.
• Geffken Group, PLLC
• Dustin Lee Geiger, L.M.T, C.P.T
• Gregory A Geiger, MD
• Robin A Geiger, DNP, APRN, FNP-BC
• Sara Geiger, APRN
• Carolyn Geis, MD

• Clinical Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.