Active NPI
John Raymond Garry, PSY.D.
- Clinical Psychologist
- Salinas, CA
National Provider Identifier
1669528766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24620
- Practice address
- 355 Abbott St Ste 201
Salinas, CA 93901-4483 - Phone
- (831) 269-7798
- Fax
- (831) 269-7799
- NPI assigned
- Jan 25, 2007
- Last updated
- Jan 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PSY24620 | CA | Primary |
Addresses
Primary practice location
355 Abbott St Ste 201
Salinas, CA 93901-4483
Mailing address
355 Abbott St Ste 201
Salinas, CA 93901-4483
Phone (831) 269-7798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24620 | CA | MD | Clinical Psychologist |
| 24620 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Wu MD PHD Inc | Current | Accepting new patients | |
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients |
Locations
11835 W Olympic Blvd
Ste 1270E
Los Angeles, CA 90064
Phone (310) 273-4843
16890 Green Tree Blvd
Victorville, CA 92395
Phone (310) 273-4843
Organizations & group practices 2
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.
-
- Psychiatry Physician
- San Gabriel, CA
- NPI 1528639481
-
- Specialist
- Salinas, CA
- NPI 1134279532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1669528766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 ABBOTT ST STE 201",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014483",
"telephone_number": "831-269-7798",
"fax_number": "831-269-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 ABBOTT ST STE 201",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014483",
"telephone_number": "831-269-7798",
"fax_number": "831-269-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRY",
"first_name": "JOHN",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY24620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.