Individual provider Active NPI

Gabrielle Toloza, PSY.D.

  • Clinical Psychologist
  • Oklahoma City, OK
National Provider Identifier
1063969897
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1269 Issued in OK
Practice address
3035 NW 63Rd St
Suite 227
Oklahoma City, OK 73116-3632
Phone
(405) 242-6460
Fax
(405) 212-4463
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1269 OK Primary
Clinical Child & Adolescent Psychologist 103TC2200X 1269 OK
Health Service Psychologist 103TH0100X 1269 OK

Addresses

Primary practice location

3035 NW 63Rd St
Suite 227
Oklahoma City, OK 73116-3632

Mailing address

2805 Pembroke Ter
Oklahoma City, OK 73116-4226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009001782 HI Practitioner - Clinical Psychologist 3870913056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gova LLCGroup PAC ID 1557500048, 3 clinicians

Practice addresses (Care Compare)

111 Hekili St
Suite A124
Kailua, HI 96734-2800

283 Kakahiaka St
Kailua, HI 96734-3461
Phone (808) 427-4750

615 Piikoi St
Suite 1605
Honolulu, HI 96814-3142
Phone (808) 352-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1269OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gova LLC CurrentSince Jul 1, 2020 Accepting new patients
Mindful Connections, LLC Clinical CurrentSince Oct 21, 2023 Accepting new patients

Locations

615 Piikoi St
Ste 1605
Honolulu, HI 96814
Phone (808) 352-5050

615 Piikoi St
Ste 1603
Honolulu, HI 96814
Phone (808) 352-5050

111 Hekili St
Ste A124
Kailua, HI 96734
Phone (808) 427-4750

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1063969897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 PEMBROKE TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST",
            "address_2": "SUITE 227",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163632",
            "telephone_number": "405-242-6460",
            "fax_number": "405-212-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLOZA",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1269",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OK",
            "license": "1269",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "1269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.