Active NPI
Joel Alexander Gattey
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1487942488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 74847
- Practice address
- 4080 Centre St
Ste 103
San Diego, CA 92103-2655 - Phone
- (619) 543-9850
- NPI assigned
- Jul 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 74847 | CA | Primary |
Addresses
Primary practice location
4080 Centre St
Ste 103
San Diego, CA 92103-2655
Mailing address
1923 Alameda Ter
San Diego, CA 92103-1615
Phone (619) 990-8322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74847 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| YMCA of San Diego County | Past | Accepting new patients | |
| YMCA Youth and Family Services | 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.
-
- Adult Mental Health Clinic/Center
- San Diego, CA
- NPI 1639449655
-
- Case Management Agency
- San Diego, CA
- NPI 1285949685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1487942488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 ALAMEDA TER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031615",
"telephone_number": "619-990-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 CENTRE ST",
"address_2": "STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032655",
"telephone_number": "619-543-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTEY",
"first_name": "JOEL",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "74847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.