Jack Edward Gaskill, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23236 Issued in TX

Practice address

1215 Red River St
Suite 448
Austin, TX 78701-1921

Phone

(512) 479-3523

NPI assigned

Apr 14, 2006

Last updated

Jul 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jack Edward Gaskill Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1821052903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16809 WESTVIEW TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379041",
            "telephone_number": "512-479-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 RED RIVER ST",
            "address_2": "SUITE 448",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011921",
            "telephone_number": "512-479-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKILL",
        "first_name": "JACK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000T48L2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "GASKILL",
            "middle_name": "EDWARD",
            "credential": "ED.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victoria A Garza
• Mary E Gasal, M.D.
• Giovanna Gasbarre, RD
• Lan-Anh Gasca, O.D.
• Arza Leon Gasho, LCDC
• Samantha Nicole Gaspard, RBT
• Carla Gavilanes Gasparini, O.D.
• Natasha Ana Maria Gasser, OD
• Caitlyn Gaston, OTR
• Linda Alicia Gaston, LSA

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.