Active NPI
Gary Brett Gastman, PH.D.
- Clinical Psychologist
- Lowell, MA
National Provider Identifier
1689709032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6954
- Practice address
- 35 Market St
2ND Floor
Lowell, MA 01852-1805 - Phone
- (978) 459-0389
- Fax
- (978) 459-7642
- NPI assigned
- Feb 23, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6954 | MA | Primary |
Addresses
Primary practice location
35 Market St
2ND Floor
Lowell, MA 01852-1805
Mailing address
35 Market St
2ND Floor
Lowell, MA 01852-1805
Phone (978) 459-0389
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6954 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689709032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MARKET ST",
"address_2": "2ND FLOOR",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521805",
"telephone_number": "978-459-0389",
"fax_number": "978-459-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MARKET ST",
"address_2": "2ND FLOOR",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521805",
"telephone_number": "978-459-0389",
"fax_number": "978-459-7642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTMAN",
"first_name": "GARY",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
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.