Gabriela Eyal, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301011700 Issued in MI

Practice address

117 S University Ave
Mt Pleasant, MI 48858-2320

Phone

(989) 772-4702

Fax

(989) 775-1507

NPI assigned

Jun 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Agn Services

  • Preferred Provider Organization
  • Mt Pleasant, MI
  • NPI 1972834620
  Authorized official Same address or phone

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306049911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S UNIVERSITY AVE",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582320",
            "telephone_number": "989-772-4702",
            "fax_number": "989-775-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S UNIVERSITY AVE",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582320",
            "telephone_number": "989-772-4702",
            "fax_number": "989-775-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYAL",
        "first_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleshia R Esch
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• Christina Eyers, MA, ATC
• Alicia Lynn Faber
• Krista Kay Faber, LLMSW
• Gabriela Romero Fachting Salvador
• Bushra Fadhil

• Clinical Psychologist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.