Active NPI
Paula Gavitt, LPA
- Clinical Psychologist
- Sparta, NC
National Provider Identifier
1871832063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0311
- Practice address
- 393 N Main St
Sparta, NC 28675-8896 - Phone
- (336) 372-2530
- Fax
- (336) 372-2532
- NPI assigned
- Feb 7, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0311 | NC | Primary |
Addresses
Primary practice location
393 N Main St
Sparta, NC 28675-8896
Mailing address
393 N Main St
Sparta, NC 28675-8896
Phone (336) 372-2530
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 |
|---|---|---|---|
| 0311 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1871832063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 N MAIN ST",
"city": "SPARTA",
"state": "NC",
"postal_code": "286758896",
"telephone_number": "336-372-2530",
"fax_number": "336-372-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 N MAIN ST",
"city": "SPARTA",
"state": "NC",
"postal_code": "286758896",
"telephone_number": "336-372-2530",
"fax_number": "336-372-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVITT",
"first_name": "PAULA",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-07",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "0311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.