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GARY LYNN CAVANAUGH MD
NPI 1619087038
Psychiatry & Neurology - Psychiatry in Stockton, CA

Active since August 30, 2006Opted out of Medicare · through Jan 1, 2028
2522 GRAND CANAL BLVD, #1, STOCKTON, CA 95207(209) 951-4666(209) 951-5829 Get Directions Write a Review

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

About Gary Lynn Cavanaugh Md NPPES

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

GARY LYNN CAVANAUGH MD (NPI 1619087038) is an individual psychiatry provider in Stockton, California, licensed in California (C34330) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619087038
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameGARY LYNN CAVANAUGHCredential: MD
Location Address2522 GRAND CANAL BLVD, #1Stockton, CA 95207-8213
Mailing Address2522 Grand Canal Blvd, #1Stockton, CA 95207-8213 · (209) 951-4666 · Fax (209) 951-5829
Phone(209) 951-4666
Fax(209) 951-5829
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619087038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · C34330
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2522 GRAND CANAL BLVD, Stockton, CA 95207
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Other Names 1

Professional Name (2)Gary L Cavanaugh Md

Other Identifiers 3

Medicare UPINA35585
Medicare ID-Type Unspecified00C343300
Medicaid00C343300CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gary Lynn Cavanaugh Md 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 January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

INLAND PSYCHIATRIC OFFICES
Social Worker
2522 GRAND CANAL BLVD, #1
STOCKTON, CA 95207
San Joaquin County (209) 951-4666
DR. VIRENDER JIT KAMBOJ MD
Internal Medicine
2522 GRAND CANAL BLVD
STOCKTON, CA 95207
San Joaquin County (209) 952-1434
MS. SOKHOM SORM
Case Manager/Care Coordinator
2522 GRAND CANAL BLVD
STOCKTON, CA 95207
San Joaquin County (916) 659-0882
ROBERT EUGENE MARTIN MD
Psychiatry & Neurology (Psychiatry)
2522 GRAND CANAL BLVD, #1
STOCKTON, CA 95207
San Joaquin County (209) 951-4666

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 Gary Cavanaugh's NPI number?

The NPI number for Gary Cavanaugh is 1619087038. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Gary L Cavanaugh MD.

Where is Gary Cavanaugh located?

Gary Cavanaugh practices at 2522 Grand Canal Blvd #1, Stockton, CA 95207. The listed phone number is (209) 951-4666.

What is Gary Cavanaugh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Gary Cavanaugh enrolled in Medicare?

No. Gary Cavanaugh has opted out of Medicare through January 1, 2028. 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 Gary Cavanaugh 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.