Renato C. Gahol, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M-1410 Issued in GU

Practice address

790 Gov. Carlos G. Camacho Rd.
Tamuning, GU 96913

Phone

(671) 647-5413

Fax

(671) 649-6948

NPI assigned

Jun 27, 2005

Last updated

Jul 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Government of Guam Department of Administration

  dba Guam Behavioral Health and Wellness Center

  • Community/Behavioral Health Agency
  • Tamuning, GU
  • NPI 1619928264
  NPD (past)
• Georgia Department of Human Resources

  dba West Central Georgia Regional Hospital

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1144224767
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1508862269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 GOV. CARLOS G. CAMACHO RD.",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-5413",
            "fax_number": "671-649-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GOV. CARLOS G. CAMACHO RD.",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-5413",
            "fax_number": "671-649-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHOL",
        "first_name": "RENATO",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "054097",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GU",
            "license": "M-1410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Ford, M.D.
• Samuel Friedman, M.D.
• Carolyn L. Mendiola Fruge, MSN. AGNP
• Gerren Christopher Gabriel
• Mildred Maniago Gabriel, RPH
• Geoffrey Perpetua Galgo, DOCTOR OF MEDICINE
• Anna Lou Caranay Garces, GENRAL MANAGER
• Antonio Lumaban Garcia, MD
• Dante Calleja Garcia
• Maria Henny Panes Garcia, O.D.

• Psychiatry Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Psychiatry Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.