Michael Gass, PH.D., a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

#PSY5201 Issued in CA

Legal business name

MICHAEL GASS, PH.D., A PSYCHOLOGICAL CORPORATION

Practice address

27001 La Paz Rd
Suite 290
Mission Viejo, CA 92691-5502

Phone

(949) 462-0102

Fax

(949) 462-0124

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Julie Haynes

Title

Office Manager

Phone

(949) 462-0102

Specialties & licenses 1

Addresses

Other names 1

• The Rebuilding Therapy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Gass, PH.D.

  • Psychologist
  • Mission Viejo, CA
  • NPI 1700902285
  Medicare reassignment NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1467579813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 290",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-462-0102",
            "fax_number": "949-462-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 290",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-462-0102",
            "fax_number": "949-462-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GASS, PH.D., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-462-0102"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "#PSY5201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rebuilding Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.