Active NPI
Nicholas Ryan Gehle, PSY.D.
- Clinical Psychologist
- Land O Lakes, FL
National Provider Identifier
1841553393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 8489
- Practice address
- 3632 Land O Lakes Blvd
Suite 106 RM. 17
Land O Lakes, FL 34639-4405 - Phone
- (813) 513-9228
- NPI assigned
- Jun 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 8489 | FL | Primary |
Addresses
Primary practice location
3632 Land O Lakes Blvd
Suite 106 RM. 17
Land O Lakes, FL 34639-4405
Mailing address
5537 Sweet William Ter
Land O Lakes, FL 34639-2851
Phone (937) 477-4885
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 8489 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1841553393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5537 SWEET WILLIAM TER",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346392851",
"telephone_number": "937-477-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3632 LAND O LAKES BLVD",
"address_2": "SUITE 106 RM. 17",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394405",
"telephone_number": "813-513-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHLE",
"first_name": "NICHOLAS",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 8489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.