DR. GEORGETTE GAVIN (PH.D.) – Psychologist, NPI 1508878331

DR. GEORGETTE GAVIN (PH.D.) is a healthcare provider. based in Oceanside, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY 17330 (CA). The NPI Number for DR. GEORGETTE GAVIN (PH.D.) is 1508878331

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGETTE GAVIN (PH.D.)
NPI
1508878331
Phone
(760) 420-1500
Address
2344 FIRE MOUNTAIN DR
Enumeration Date
12 August 2006
Last Update Date
28 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
8527102003
Professional Enrollment ID
I20100222000609
Address ID
CA920546117OC2344XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for DR. GEORGETTE GAVIN (PH.D.)

  • 2344 FIRE MOUNTAIN DR

    OCEANSIDE, CA 920546117

    Phone: (760) 420-1500

    Fax: (760) 721-3637

    Type: Location

  • Genesis Del Mar, 12250, El Camino Real, Del Mar Heights, San Diego, San Diego County, California, 92130, United States

    STE 116

    SAN DIEGO, CA 921303091

    Phone: (619) 524-9412

    Fax: (760) 721-3637

    Type: Location

  • 2344, Fire Mountain Drive, Oceanside, San Diego County, California, 92054, United States

    OCEANSIDE, CA 920546117

    Phone: (760) 721-3637

    Fax: (760) 721-3764

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100222000609IPsychologist Billing IndependentlyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92054)

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Reviews

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Frequently asked questions

What is the standard ID for DR. GEORGETTE GAVIN (PH.D.) in the U.S.?
In the U.S., DR. GEORGETTE GAVIN (PH.D.) is identified by NPI 1508878331.
Quick check: is DR. GEORGETTE GAVIN (PH.D.) active?
Public NPPES data shows DR. GEORGETTE GAVIN (PH.D.) with an active NPI status right now.
What type of care does DR. GEORGETTE GAVIN (PH.D.) provide?
DR. GEORGETTE GAVIN (PH.D.)'s profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. GEORGETTE GAVIN (PH.D.)?
DR. GEORGETTE GAVIN (PH.D.) is associated with Oceanside, California in the same public data insurers reference.
Why is information missing for DR. GEORGETTE GAVIN (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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