Brandon Gavett, PH.D., ABPP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3601 Issued in CO

Practice address

UC Davis Neurosciences Clinic
3160 Folsom Blvd, Suite 2100
Sacramento, CA 95816

Phone

(916) 734-3588

NPI assigned

Dec 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regents of the University of California

  dba UC Davis Medical Group

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952998973
  Medicare reassignment Care Compare group
• Regents of the University of California

  dba UC Davis Medical Group

  • Multi-Specialty Clinic/Center
  • Roseville, CA
  • NPI 1144200775
  NPD

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1952766073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UC DAVIS NEUROSCIENCES CLINIC",
            "address_2": "3160 FOLSOM BLVD, SUITE 2100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UC DAVIS NEUROSCIENCES CLINIC",
            "address_2": "3160 FOLSOM BLVD, SUITE 2100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-734-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVETT",
        "first_name": "BRANDON",
        "credential": "PH.D., ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-16",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kabita Gautam
• Bethany Lea Gauthier, RN
• Dafna Gauthier, LPPC
• John Charels Gauthreaux, BA
• Janae Gautier
• Alexandra Annali Gavidia
• Erica Gavidia, LCSW, PPSC
• Nelie Gavino
• Hermione Gaw, MD
• Michelle Gaymon, PDC(DONA), AAHCC

• Clinical Neuropsychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.