Gabrielle Weinberg Bodow, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY13060 Issued in CA

Practice address

1137 2ND Street #207
Suite 207
Santa Monica, CA 90403

Phone

(310) 860-9040

NPI assigned

Apr 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1184479065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 2ND STREET #207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-860-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 2ND STREET #207",
            "address_2": "SUITE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-860-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODOW",
        "first_name": "GABRIELLE",
        "middle_name": "WEINBERG",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY13060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Boccardo, M.S., CCC-SLP
• Ashley Bocek, MS, RD, CNSC
• Eugene D Bock, DDS
• Noelle Boctor, M.D.
• Launa Kay Bodde
• Bodywellness
• Mattie Boehler-Tatman, MD
• Kathleen Bogart, LMFT
• Renee Fine Bogomolny, D.C.
• Alis Bogumian, PHARMD

• Clinical Neuropsychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.