Healthcare Provider Details

I. General information

NPI: 1780899419
Provider Name (Legal Business Name): CAROLE GELKER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 PARK COURT PL STE F203
SANTA ANA CA
92701-5081
US

IV. Provider business mailing address

2307 OLIVE LN
SANTA ANA CA
92706-1935
US

V. Phone/Fax

Practice location:
  • Phone: 714-667-6007
  • Fax:
Mailing address:
  • Phone: 714-543-3097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMK24198
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: