DR. GAYLE ANN CIVISH PHD
NPI 1083829055
Psychologist in Wheat Ridge, CO

Active since May 13, 2007Opted out of Medicare · through Sep 15, 2026
10200 W 44TH AVE, SUITE 210-B, WHEAT RIDGE, CO 80033(303) 443-9570 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gayle Ann Civish Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAYLE ANN CIVISH PHD (NPI 1083829055) is an individual psychologist in Wheat Ridge, Colorado, licensed in Colorado (1170) and active in the NPI registry since May 2007. She has opted out of Medicare through September 15, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083829055
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. GAYLE ANN CIVISHCredential: PHD
Location Address10200 W 44TH AVE, SUITE 210-BWheat Ridge, CO 80033-2837
Mailing Address2921 Coneflower CtSuperior, CO 80027-6012 · (303) 443-9570
Sole ProprietorYes
Enumeration DateMay 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1083829055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CO · 1170
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
10200 W 44TH AVE, Wheat Ridge, CO 80033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Gayle Ann Civish Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 15, 2014 through September 15, 2026.

Opt-Out Effective DateSeptember 15, 2014
Opt-Out In Effect ThroughSeptember 15, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
10200 W 44TH AVE
WHEAT RIDGE, CO 80033
Counselor (Professional)
10200 W 44TH AVE, SUITE 434
WHEAT RIDGE, CO 80033
Clinical Medical Laboratory
10200 W 44TH AVE
WHEAT RIDGE, CO 80033
Social Worker (Clinical)
10200 W 44TH AVE, SUITE 130
WHEAT RIDGE, CO 80033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gayle Civish's NPI number?

The NPI number for Gayle Civish is 1083829055. It was assigned to this individual provider in the NPPES registry on May 13, 2007.

Where is Gayle Civish located?

Gayle Civish practices at 10200 W 44th Ave Suite 210-B, Wheat Ridge, CO 80033. The listed phone number is (303) 443-9570.

What is Gayle Civish's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Gayle Civish enrolled in Medicare?

No. Gayle Civish has opted out of Medicare through September 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gayle Civish was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.