Provider Demographics
NPI:1992867881
Name:GATES, KARLA S (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:S
Last Name:GATES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:SCHOKMAN GATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:6840 INDIANA AVE, SUITE 240
Mailing Address - Street 2:PATHWAYS COUNSELING CENTER
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4298
Mailing Address - Country:US
Mailing Address - Phone:951-369-7288
Mailing Address - Fax:951-369-1064
Practice Address - Street 1:6840 INDIANA AVE, SUITE 240
Practice Address - Street 2:PATHWAYS COUNSELING CENTER
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4298
Practice Address - Country:US
Practice Address - Phone:951-369-7288
Practice Address - Fax:951-369-1064
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12322103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
175708OtherVALUE OPTIONS
60591273OtherUNITED BEHAVIORAL HEALTH
109886000OtherMAGELLAN
OPL123220OtherBLUE SHIELD