Peter Judson Gager, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

165460 Issued in KY

Practice address

3175 Custer Dr Ste 302B
Lexington, KY 40517-4023

Phone

(859) 533-9190

NPI assigned

Jan 9, 2007

Last updated

Sep 8, 2020By 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

Other names 1

• Dr. Peter Judson Gager Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brain Health Center PSC

  dba TMS Treatment Center PSC

  • Psychiatry Physician
  • Lexington, KY
  • NPI 1194370429
  NPD Authorized official
• PG Neuropsychology

  • Clinical Neuropsychologist
  • Boulder, CO
  • NPI 1730414657
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1346399318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 CUSTER DR STE 302B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174023",
            "telephone_number": "859-533-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 CUSTER DR STE 302B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174023",
            "telephone_number": "859-533-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Fountain Ct",
            "address_2": "UK Psychiatry",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091888",
            "country_code": "US",
            "telephone_number": "859-323-6021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 Bullock Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405082303",
            "country_code": "US",
            "telephone_number": "859-382-1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405021668",
            "country_code": "US",
            "telephone_number": "859-382-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGER",
        "first_name": "PETER",
        "middle_name": "JUDSON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KY",
            "license": "165460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "GAGER",
            "middle_name": "JUDSON",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Younos Gad
• Noah Andrew Gadd, PA
• Padmaja Gaddam
• Susan Gaffield, MS
• Justin Travis Gagel, M.D.
• Matthew Dominic Gagliano
• Priya Gaiha, MD
• Alexis Gaillard
• Andrew Scott Gaines
• Katie Lee Gaines

• Clinical Neuropsychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Neuropsychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.