Individual provider Active NPI

Diane R. Gehart, PH.D., LMFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1356359715
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35626 Issued in CA
Practice address
1337 E Thousand Oaks Blvd
Suite 116
Thousand Oaks, CA 91362-2827
Phone
(805) 405-8248
Fax
(805) 496-3376
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35626 CA Primary

Addresses

Primary practice location

1337 E Thousand Oaks Blvd
Suite 116
Thousand Oaks, CA 91362-2827

Mailing address

531 Hooper Ave
Simi Valley, CA 93065-7357
Phone (805) 405-8248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 12, 2024 through Mar 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35626CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356359715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 HOOPER AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657357",
            "telephone_number": "805-405-8248",
            "fax_number": "805-496-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 116",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622827",
            "telephone_number": "805-405-8248",
            "fax_number": "805-496-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHART",
        "first_name": "DIANE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "35626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.