Amy A Gatch, LCSW, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5743

Practice address

2007 Dataw LN
Indian Trail, NC 28079-2680

Phone

(704) 661-7422

NPI assigned

Feb 20, 2007

Last updated

Nov 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1629113337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 DATAW LN",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280792680",
            "telephone_number": "704-661-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 DATAW LN",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280792680",
            "telephone_number": "704-661-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATCH",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005035",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-09-5743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C005035",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW",
            "identifier": "8863",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-09-5743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Forrester, DC
• Regina Rumley Forsyth, PA
• Kathryn Freeman, LCSW
• Ganglani DMD PLLC
• Donna Lynne Garrett, OTRL
• Stephen B Gatlin, PA-C
• Eduardo A Gembs, M.D.
• Generations United, Inc
• Cameron Gentile, D.C.
• Daniel Gerlach

• Behavior Analyst in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.