Active NPI
Gary Engle, PH.D., BCBA
- Clinical Psychologist
- Goleta, CA
National Provider Identifier
1811398050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 12310
- Practice address
- 6980 Falberg Way
Goleta, CA 93117-6784 - Phone
- (805) 968-2525
- NPI assigned
- Sep 8, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-09-6369 | CA | |
| Clinical Psychologist | 103TC0700X | PSY 12310 | CA | Primary |
Addresses
Primary practice location
6980 Falberg Way
Goleta, CA 93117-6784
Mailing address
PO Box 6784
Santa Barbara, CA 93160-6784
Phone (805) 968-2525
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 12310 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Devereux Foundation - California | Past | Accepting new patients | |
| Devereux California | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Goleta, CA
- NPI 1932506755
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Goleta, CA
- NPI 1689882243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1811398050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6784",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931606784",
"telephone_number": "805-968-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6980 FALBERG WAY",
"city": "GOLETA",
"state": "CA",
"postal_code": "931176784",
"telephone_number": "805-968-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLE",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "PH.D., BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-09-6369",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 12310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.