Active NPI
Gary James Coles, PSYCH TECH.
- Licensed Psychiatric Technician
- Atascadero, CA
National Provider Identifier
1679696694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 22180
- Practice address
- 14780 El Camino Real
Atascadero, CA 93422-6408 - Phone
- (805) 461-4148
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 22180 | CA | Primary |
Addresses
Primary practice location
14780 El Camino Real
Atascadero, CA 93422-6408
Mailing address
193 Stonebridge LN
Paso Robles, CA 93446-1927
Phone (805) 237-4046
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22180 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679696694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 STONEBRIDGE LN",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934461927",
"telephone_number": "805-237-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14780 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934226408",
"telephone_number": "805-461-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLES",
"first_name": "GARY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PSYCH TECH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "22180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atascadero, CA
- Eric Michael Cohen, MD
- Seth Cohen, M.D.
- Marco Colandrea
- Cole-Restorative Therapy
- Mary Ellen Cole, LMFT
- Bernedette Collins
- William James Collins, M.D.
- Thomas Allan Comar, FNP
- Community Health Centers of the Central Coast Inc
- Community Health Centers of the Central Coast, Inc. (CommHlthCntrs,Women's Health Atascadero)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.