Bryan Gastelle, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-005446 Issued in AZ

Practice address

1222 W Baseline Rd Unit 154
Tempe, AZ 85283-5967

Phone

(480) 524-0990

Fax

(480) 436-6720

NPI assigned

May 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empower Psychotherapy, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1447996343
  NPD Authorized official
• Belmont Behavioral Hospital, LLC

  dba Belmont Northeast Outpatient Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1346621448
  NPD
• Belmont Behavioral Hospital, LLC

  dba Belmont Behavioral Hospital

  • Psychiatric Hospital
  • Philadelphia, PA
  • NPI 1629468137
  NPD
• Psychology Specialists LTD

  dba LifeStance Health

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1003473448
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1801453477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 W BASELINE RD UNIT 154",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835967",
            "telephone_number": "301-471-6944",
            "fax_number": "480-436-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 W BASELINE RD UNIT 154",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835967",
            "telephone_number": "480-524-0990",
            "fax_number": "480-436-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTELLE",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018947",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-005446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Garrett, COTA/L
• Tina Garrett
• Michelle Garrone, LCSW
• Camille Ana Garza, PH.D.
• Rebecca Diane Gassett, RN, MS, CPNP
• Gateway Air Ambulance Inc.
• Gateway Health Wellness and Aesthetics
• Genny L Gaustad, MC
• Amy Lee Gauthier
• Jeffrey W Gaver, MD

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.

Verify at the official NPI Registry.