Individual provider Active NPI

Kathy Vernon Gunz, PSY.D.

  • Psychologist
  • Sacramento, CA
National Provider Identifier
1407051394
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2277 Fair Oaks Blvd
Suite 190a
Sacramento, CA 95825-5533
Phone
(916) 813-7879
Fax
(916) 929-9491
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2277 Fair Oaks Blvd
Suite 190a
Sacramento, CA 95825-5533

Mailing address

2277 Fair Oaks Blvd
Suite 190a
Sacramento, CA 95825-5533
Phone (916) 813-7879

Other identifiers 1

IdentifierTypeStateIssuer
000008462OtherCAMEDICAL PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000020 CA Practitioner - Clinical Psychologist 1355528928 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

72 Footbridge PL
Carmichael, CA 95608-5224
Phone (916) 813-7879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24246CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Margetich&Morton MFCC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1407051394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "SUITE 190A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255533",
            "telephone_number": "916-813-7879",
            "fax_number": "916-929-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "SUITE 190A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255533",
            "telephone_number": "916-813-7879",
            "fax_number": "916-929-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNZ",
        "first_name": "KATHY",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "000008462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.