Organization Active NPI

Dr. Gabrielle Du Verglas, Psychological Services, Inc.

  • Psychologist
  • Santa Monica, CA
National Provider Identifier
1073838181
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY13096 Issued in CA
Legal business name
DR. GABRIELLE DU VERGLAS, PSYCHOLOGICAL SERVICES, INC.
Practice address
1247 7TH St Ste 202
Santa Monica, CA 90401-1643
Phone
(310) 820-4928
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Gabrielle Du Verglas, PH.D.
Title
Clinical Psychologist
Phone
(310) 820-4928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY13096 CA Primary

Addresses

Primary practice location

1247 7TH St Ste 202
Santa Monica, CA 90401-1643

Mailing address

11693 San Vicente Blvd # 412
Los Angeles, CA 90049-5105

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1073838181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 SAN VICENTE BLVD # 412",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 7TH ST STE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011643",
            "telephone_number": "310-820-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GABRIELLE DU VERGLAS, PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "DU VERGLAS",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-820-4928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.