Organization Active NPI

Gabra S. Gachaw MD, PC, Dba Inter-Act

  • Marriage & Family Therapist
  • Danville, IN
National Provider Identifier
1396914842
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GABRA S. GACHAW MD, PC, DBA INTER-ACT
Practice address
258 Meadow Dr
Danville, IN 46122-1416
Phone
(317) 718-0605
Fax
(317) 718-0720
NPI assigned
Feb 28, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Ms. Christine Louise Stewart, LCSW
Title
Office Manager
Phone
(317) 718-0605

Specialties & licenses 1

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

Addresses

Primary practice location

258 Meadow Dr
Danville, IN 46122-1416

Mailing address

258 Meadow Dr
Danville, IN 46122-1416
Phone (317) 718-0605

Other identifiers 1

IdentifierTypeStateIssuer
200225810AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1396914842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MEADOW DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221416",
            "telephone_number": "317-718-0605",
            "fax_number": "317-718-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MEADOW DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221416",
            "telephone_number": "317-718-0605",
            "fax_number": "317-718-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRA S. GACHAW MD, PC, DBA INTER-ACT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-718-0605",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200225810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.