DAVID GENTRY - NPI 1184726150 - Psychologist in San Diego, CA

Q: What is David Gentry's NPI number?

The NPI number for David Gentry is 1184726150. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is David Gentry's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for David Gentry 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.

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About David Gentry NPPES

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

DAVID GENTRY (NPI 1184726150) is an individual clinical provider in San Diego, California, licensed in Texas (2-4381) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1184726150

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDAVID GENTRY

Location Address4715 VIEWRIDGE AVE STE 230San Diego, CA 92123-1680

Mailing Address3429 Wharton DrFort Worth, TX 76133-2231 · (817) 346-7378

Phone(800) 257-8715

Fax(800) 819-1655

Sole ProprietorNo

Enumeration DateSeptember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184726150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 2-4381

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4715 VIEWRIDGE AVE STE 230, San Diego, CA 92123

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Other Identifiers 3

Medicare ID-Type Unspecified82215PTX

Medicaid113238302TX

Other86068ATX · Bcbs

Other Providers at the Same Location NPPES 20

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

DR. NINA ENGELHARDT PHD

Psychologist (Clinical)