Daniel Patrick Gizzo Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18926 Issued in CA

Practice address

1630 E Main St
3Rd Floor
El Cajon, CA 92021-5204

Phone

(619) 590-5189

Fax

(619) 590-5155

NPI assigned

Jun 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275738288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22165",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921922165",
            "telephone_number": "619-590-5189",
            "fax_number": "619-590-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E MAIN ST",
            "address_2": "3RD FLOOR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215204",
            "telephone_number": "619-590-5189",
            "fax_number": "619-590-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIZZO",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18926",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Gilmer
• Katherine Gilmore
• Ashley Amber Ginn
• Paul Gioffre
• Gabrielle Nicole Giordano, D.C.
• Kenneth Gladstone
• Maria Margarita Glover
• William Samuel Glover III
• Marina Goad
• Nickolas Lenzie Goad

• Clinical Psychologist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.