Active NPI
Felisa D Gaffney, LMFT, PSY.D.
- Clinical Psychologist
- Antioch, CA
National Provider Identifier
1801924576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30679
- Practice address
- 3700 Delta Fair Blvd Ste 210
Antioch, CA 94509 - Phone
- (925) 303-6058
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | LMFT52830 | CA | |
| Clinical Psychologist | 103TC0700X | PSY30679 | CA | Primary |
Addresses
Primary practice location
3700 Delta Fair Blvd Ste 210
Antioch, CA 94509
Mailing address
3700 Delta Fair Blvd Ste 210
Antioch, CA 94509-4074
Phone (925) 303-6058
Other practice location 1
2730 W Tregallas Rd Unit 2506
Antioch, CA 94531-7016
Phone (925) 303-6058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3700 Delta Fair Blvd
Suite 210
Antioch, CA 94509-4074
Phone (925) 301-0143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30679 | CA | MD | Clinical Psychologist |
| LMFT52830 | CA | MD | Marriage & Family Therapist |
| 30679 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Springs Psychotherapy and Consulting, a Professional Corporat | Clinical | Current | Accepting new patients |
Locations
3700 Delta Fair Blvd
Ste 210
Antioch, CA 94509
Phone (925) 301-0143
Organizations & group practices 1
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.
-
- Psychologist
- Antioch, CA
- NPI 1376142497
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1801924576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 DELTA FAIR BLVD STE 210",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094074",
"telephone_number": "925-303-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 DELTA FAIR BLVD STE 210",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-303-6058"
}
],
"practiceLocations": [
{
"address_1": "2730 W Tregallas Rd Unit 2506",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "945317016",
"country_code": "US",
"telephone_number": "925-303-6058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAFFNEY",
"first_name": "FELISA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "LMFT, PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT52830",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.