Individual provider Active NPI

Gabrielle Ducsay, PSYD

  • Clinical Psychologist
  • South Pasadena, CA
National Provider Identifier
1023593365
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30346 Issued in CA
Practice address
1015 Fremont Ave
South Pasadena, CA 91030-3224
Phone
(424) 239-9470
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30346 CA Primary

Addresses

Primary practice location

1015 Fremont Ave
South Pasadena, CA 91030-3224

Mailing address

945 5TH Ave Apt 17E
New York, NY 10021-2667
Phone (310) 895-5252

Other practice location 1

945 5th Ave Apt 17E
New York, NY 10021-2667
Phone (310) 895-5252

Other practice location 2

945 5th Ave Apt 17E
New York, NY 10021-2667
Phone (917) 975-1043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30346CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1023593365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 5TH AVE APT 17E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212667",
            "telephone_number": "310-895-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 FREMONT AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303224",
            "telephone_number": "424-239-9470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 5th Ave Apt 17E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212667",
            "country_code": "US",
            "telephone_number": "310-895-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 5th Ave Apt 17E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212667",
            "country_code": "US",
            "telephone_number": "917-975-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCSAY",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.