Individual provider Active NPI

Kenneth Garett, PHD

  • Psychologist
  • Palm Springs, CA
National Provider Identifier
1982797759
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY5844 Issued in CA
Practice address
225 S Civic Dr
#211
Palm Springs, CA 92262-7226
Phone
(760) 327-9566
Fax
(760) 323-3190
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY5844 CA Primary

Addresses

Primary practice location

225 S Civic Dr
#211
Palm Springs, CA 92262-7226

Mailing address

225 S Civic Dr
#211
Palm Springs, CA 92262-7226
Phone (760) 327-9566

Other identifiers 1

IdentifierTypeStateIssuer
00PL58442MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000199 CA Practitioner - Psychologist Billing Independently 5496943185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of California, Geffen School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 S Civic
Suite 11
Palm Springs, CA 92262-7228
Phone (760) 327-9566

225 S Civic Dr
Suite 11
Palm Springs, CA 92262-7228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY5844CAMDPsychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1982797759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S CIVIC DR",
            "address_2": "#211",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627226",
            "telephone_number": "760-327-9566",
            "fax_number": "760-323-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CIVIC DR",
            "address_2": "#211",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627226",
            "telephone_number": "760-327-9566",
            "fax_number": "760-323-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARETT",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY5844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL58442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.