Individual provider Active NPI

Felisa D Gaffney, LMFT, PSY.D.

  • Clinical Psychologist
  • Antioch, CA
National Provider Identifier
1801924576
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30679 Issued in CA
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

Updated by the provider on May 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108002014 CA Practitioner - Clinical Psychologist 7416382031 Reassigns benefits to 1 organization
Practice locations: Antioch, CA

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

LicenseStateTypeSpecialty
PSY30679CAMDClinical Psychologist
LMFT52830CAMDMarriage & Family Therapist
30679CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Springs Psychotherapy and Consulting, a Professional Corporat Clinical CurrentSince Nov 30, 2024 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.

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

Verify at the official NPI Registry.