Active NPI
David Wayne Gavel, PHD
- Counseling Psychologist
- Hattiesburg, MS
National Provider Identifier
1659840171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 581027
- Practice address
- 1 Commerce Dr Ste 106
Hattiesburg, MS 39402-1499 - Phone
- (601) 255-1618
- Fax
- (601) 255-1619
- NPI assigned
- Nov 14, 2018
- Last updated
- Nov 14, 2018
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 581027 | MS | Primary |
Addresses
Primary practice location
1 Commerce Dr Ste 106
Hattiesburg, MS 39402-1499
Mailing address
1 Commerce Dr Ste 106
Hattiesburg, MS 39402-1499
Phone (601) 255-1618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 581027 | MS | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1659840171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COMMERCE DR STE 106",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021499",
"telephone_number": "601-255-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COMMERCE DR STE 106",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021499",
"telephone_number": "601-255-1618",
"fax_number": "601-255-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVEL",
"first_name": "DAVID",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MS",
"license": "581027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.