Individual provider Active NPI

Michael F. Gavetti, PH.D.

  • Counseling Psychologist
  • Memphis, TN
National Provider Identifier
1437480985
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2678
Practice address
5909 Shelby Oaks Dr
Suite 100
Memphis, TN 38134-7317
Phone
(901) 383-9193
Fax
(901) 383-9195
NPI assigned
Jan 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2678 Primary

Addresses

Primary practice location

5909 Shelby Oaks Dr
Suite 100
Memphis, TN 38134-7317

Mailing address

5909 Shelby Oaks Dr
Suite 100
Memphis, TN 38134-7317
Phone (901) 383-9193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190716002620 PA Practitioner - Clinical Psychologist 6002074499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Mar 24, 2025 Accepting new patients
Reading Hospital Current Accepting new patients
Reading Hospital CurrentSince Mar 24, 2025 Accepting new patients

Locations

101 Wellness Way
Reading, PA 19605
Phone (484) 628-8070

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

Organizations & group practices 3

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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1437480985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 SHELBY OAKS DR",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347317",
            "telephone_number": "901-383-9193",
            "fax_number": "901-383-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 SHELBY OAKS DR",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347317",
            "telephone_number": "901-383-9193",
            "fax_number": "901-383-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVETTI",
        "first_name": "MICHAEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": "2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.