Individual provider Active NPI

Gagandeep Kaur Bhasin, PSY.D.

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1114095494
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2729 4TH Ave Ste 3
San Diego, CA 92103-6223
Phone
(619) 733-7163
Fax
(619) 550-0428
NPI assigned
Dec 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2729 4TH Ave Ste 3
San Diego, CA 92103-6223

Mailing address

2729 4TH Ave Ste 3
San Diego, CA 92103-6223
Phone (619) 733-7163

Other practice location 1

892 27th St
San Diego, CA 92154-1444
Phone (619) 575-4687

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

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114095494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 4TH AVE STE 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036223",
            "telephone_number": "619-733-7163",
            "fax_number": "619-550-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 4TH AVE STE 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036223",
            "telephone_number": "619-733-7163",
            "fax_number": "619-550-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "892 27th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921541444",
            "country_code": "US",
            "telephone_number": "619-575-4687",
            "fax_number": "619-575-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHASIN",
        "first_name": "GAGANDEEP",
        "middle_name": "KAUR",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.