Gary Lee Hitchcock, PH.D.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

PSY 18045 Issued in CA

Legal business name

GARY LEE HITCHCOCK, PH.D.

Practice address

3448 Edgewood Dr
San Luis Obispo, CA 93401-6020

Phone

(805) 458-6881

Fax

(805) 543-3241

NPI assigned

Jun 1, 2010

Last updated

Jun 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Lee Hitchcock, PH.D.

Title

Psychologist

Phone

(805) 458-6881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1477872471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 EDGEWOOD DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016020",
            "telephone_number": "805-458-6881",
            "fax_number": "805-543-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 EDGEWOOD DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016020",
            "telephone_number": "805-458-6881",
            "fax_number": "805-543-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY LEE HITCHCOCK, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "HITCHCOCK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-458-6881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "PSY 18045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett James Garrett, DMD, MS
• Mary B Garrett, NP
• Paul Garth
• Gary L. Cushing, M.D., a Medical Corp.
• Gary L. Cushing, MD
• Gary M. Westbrock, Physician Assistant, Inc.
• Chris Garza
• Gabriella Garza
• Jessica Gash
• Steven Gastelum

• Case Management Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.