GARY LYNN CAVANAUGH


Address: 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213
Phone: 2099514666

GARY LYNN CAVANAUGH (NPI# 1619087038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619087038
Entity Type Individual
Full Name GARY LYNN CAVANAUGH
Other Name GARY L CAVANAUGH
Credential MD
Practice Address 2522 Grand Canal Blvd
#1
Stockton
CA 95207-8213
Practice Telephone 2099514666
Practice Fax Number 2099515829
Mailing Telephone 2099514666
Mailing Fax Number 2099515829
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
C34330 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00C343300 05

Office Location

Street Address 2522 GRAND CANAL BLVD
#1
City STOCKTON
State CA
Zip Code 95207-8213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144330572 Jerry Travis Jones Psychiatry & Neurology 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213 2006-08-30
1376668053 Inland Psychiatric Offices Social Worker 2522 Grand Canal Blvd, #1, Stockton, CA 95207 2007-03-20
1548317167 Virender Jit Kamboj Family Medicine 2522 Grand Canal Blvd, Stockton, CA 95207-8213 2007-01-04
1952482747 Robert Eugene Martin Psychiatry & Neurology 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213 2006-10-18
1003926437 Kent Edward Rogerson Psychiatry & Neurology 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213 2006-08-30
1356451793 Corwin Hill Brink Psychiatry & Neurology 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669004438 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1002 Robinhood Drive, Stockton, CA 95207 2020-02-10
1811533110 Tanya V Jones Dental Hygienist Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 2019-11-21
1053966358 Ingrid Marcela Saavedra Behavioral Analyst 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 2019-08-05
1497218861 Turning Point Community Programs Community/Behavioral Health 1803 W March Ln Ste C-d, Stockton, CA 95207 2019-04-11
1427510627 Stockton Sleep Center Inc Physiological Laboratory 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 2019-04-05
1518436229 Nicolas Anthony Overby Occupational Therapist Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 2018-11-26
1912475724 Ashley Johnson Behavior Technician 87 W. March Ln. Suite 6, Stockton, CA 95207 2018-11-09
1124596085 Korie Cottrell Behavior Technician 87 W. March Ln., Suite 6, Stockton, CA 95207 2018-11-08
1760979645 Maria Esther Rodriguez Counselor 2425 W March Ln., Stockton, CA 95207 2018-04-17
1902301161 Lashray Elliott Behavior Technician 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 2018-03-28
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy 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.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790139566 Peter Alan Crist Psychiatry & Neurology 62 Wagner Rd, Stockton, NJ 08559-1412 2016-04-19
1982782892 Arudra Bodepudi Psychiatry & Neurology 5250 Claremont Ave Ste 103, Stockton, CA 95207-5700 2006-11-01
1407932742 John Matthew Yarbrough Psychiatry & Neurology 510 East Magnolia Street, Suite 100, Stockton, CA 95202 2006-10-30
1568567105 Suryabanu Javeed Psychiatry & Neurology 1212 N California Street., Stockton, CA 95202 2006-09-14
1134230485 Saul B Zelan Psychiatry & Neurology 7707 Austin Rd, Stockton, CA 95215-8312 2006-08-31
1144330572 Jerry Travis Jones Psychiatry & Neurology 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213 2006-08-30
1194799395 Jane Fernandez Psychiatry & Neurology 2522 Grand Canal Blvd Ste 1, Stockton, CA 95207-8213 2006-02-14
1841261054 John Fong Psychiatry & Neurology 1130 Monaco Ct, Stockton, CA 95207 2006-01-27
1972592939 Jin R. Soofi Psychiatry & Neurology 1212 N California St, Stockton, CA 95202-1552 2005-10-20
1891795076 Alice Park Psychiatry & Neurology 1305 Tommydon St, Stockton, CA 95210-3364 2005-07-28
Find all providers in STOCKTON

Competitor

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City STOCKTON
Zip Code 95207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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