Provider Demographics
NPI:1184317893
Name:RIGALI, GREGORY MICHAEL
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:MICHAEL
Last Name:RIGALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4744 TELEPHONE RD # 3233
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5244
Mailing Address - Country:US
Mailing Address - Phone:805-701-7145
Mailing Address - Fax:
Practice Address - Street 1:4744 TELEPHONE RD # 3233
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5244
Practice Address - Country:US
Practice Address - Phone:805-701-7145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1285131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical