George Gamez, PHD Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 5172 Issued in CA

Legal business name

GEORGE GAMEZ, PHD INC

Practice address

18345 Ventura Blvd Ste 300
Tarzana, CA 91356-4242

Phone

(323) 655-8777

Fax

(310) 475-8236

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. George Gamez, PHD

Title

Owner/President

Phone

(310) 475-5236

Specialties & licenses 1

Addresses

Other names 1

• Psychological Center for Treatment & Eval Doing business as

Locations

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1891070017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34850",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900340850",
            "telephone_number": "323-655-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD STE 300",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564242",
            "telephone_number": "323-655-8777",
            "fax_number": "310-475-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE GAMEZ, PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "GAMEZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-475-5236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 5172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Center for Treatment & Eval",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.