Matthew D Gandall

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00040924 Issued in WA

Practice address

547 Dayton St
Edmonds, WA 98020-3431

Phone

(425) 771-5166

Fax

(425) 670-2807

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396881462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 4TH AVE W",
            "address_2": "APT A-101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044949",
            "telephone_number": "425-771-5166",
            "fax_number": "425-670-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 DAYTON ST",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203431",
            "telephone_number": "425-771-5166",
            "fax_number": "425-670-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDALL",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00040924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekram A Gad
• Brittany N Gallaher, D.O.
• Margarita Gallo de la Torre, MC INTERPRETER
• Kaitlin Marie Galvagno, OTD, OTR/L
• Jade Wan-Theng Gan, DDS
• Gandis G Mazeika MD PS (Sound Sleep Health)
• Gandis G Mazeika MD PS (Sound Sleep Health)
• Gandis G Mazeika MD PS (Sleep Medicine Northwest)
• Amanda Ganete, PA-C
• Xiomara Garcia

• Mental Health Counselor in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Mental Health Counselor in Washington

• 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.