Gary Hupp PHD LCSW and Associates Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GARY HUPP PHD LCSW AND ASSOCIATES INC

Practice address

735 Sunrise Ave Ste 130
Roseville, CA 95661-4596

Phone

(916) 784-1771

NPI assigned

Jan 30, 2020

Organization subpart

No

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

Authorized official

Name

Korin Walker

Title

Biller

Phone

(775) 544-0790

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary A Hupp, PH.D.,LCSW

  • Mental Health Counselor
  • Roseville, CA
  • NPI 1700938768
  NPD (past)
• Star Lafaith Leeks

  • Mental Health Counselor
  • Rocklin, CA
  • NPI 1467049247
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1942831615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SUNRISE AVE STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SUNRISE AVE STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614596",
            "telephone_number": "916-784-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY HUPP PHD LCSW AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KORIN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "775-544-0790"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Garrett
• Amelia Kay Garrido, LMFT
• Kathryn A Garrison
• Laura Garrison, RN
• Jocelyn Garside
• Maricela Garza
• Micheala Garza, BS
• Gerald Gates, D.C.
• Gateway Residential Programs
• Monika Gattani, MD

• Clinical Social Worker in Roseville, CA
• Providers in Roseville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.