Caitlin Eileen Gannon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38438 Issued in TX

Practice address

8701 Shoal Creek Blvd Ste 404
Austin, TX 78757-6809

Phone

(512) 879-1836

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Anxiety Treatment Center of Austin, PLLD

  • Psychologist
  • Austin, TX
  • NPI 1467830703
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1619589645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BURNET RD APT 259",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 SHOAL CREEK BLVD STE 404",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576809",
            "telephone_number": "512-879-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "CAITLIN",
        "middle_name": "EILEEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Cecilia Gangloff, LCSW
• Zarif Gani, MD
• Amy Gann, APRN
• Lucy Gann, RN
• Allison Gannon, PT, DPT
• Kathleen Gannon, MAOM, DAOM
• Jason Blaise Gans
• Sarah M. Ganske, AU.D.
• Lilly Balsamo Gant, CPNP-PC
• Neelima Nagabattula Ganta, M.D.

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.