Organization Active NPI

Kenneth Garett PHD Inc

  • Adult Mental Health Clinic/Center
  • Palm Springs, CA
National Provider Identifier
1588966139
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PSY5844 Issued in CA
Legal business name
KENNETH GARETT PHD INC
Practice address
225 S Civic Dr Ste 2-11
Palm Springs, CA 92262-7228
Phone
(760) 327-9566
NPI assigned
Dec 1, 2010
Last updated
May 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Kenneth Garett, PHDNPI 1982797759
Title
President
Phone
(760) 327-9566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PSY5844 CA Primary

Addresses

Primary practice location

225 S Civic Dr Ste 2-11
Palm Springs, CA 92262-7228

Mailing address

225 S Civic Dr Ste 2-11
Palm Springs, CA 92262-7228
Phone (760) 327-9566

Other identifiers 1

IdentifierTypeStateIssuer
00PL58442MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140523000511 CA Part B Supplier - Clinic/Group Practice 4587852272 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, CA

National Provider Directory

National Provider Directory

Locations

225 S Civic Dr
Ste 2-11
Palm Springs, CA 92262
Phone (760) 327-9566

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1588966139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S CIVIC DR STE 2-11",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627228",
            "telephone_number": "760-327-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CIVIC DR STE 2-11",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627228",
            "telephone_number": "760-327-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH GARETT PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "GARETT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-327-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY5844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL58442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.