Individual provider Active NPI

Gabriel Glatstein, PSYD

  • Clinical Psychologist
  • Hayward, CA
National Provider Identifier
1376821728
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28439 Issued in CA
Practice address
20094 Mission Blvd
Hayward, CA 94541-1237
Phone
(510) 727-9755
NPI assigned
Aug 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychologist 103T00000X PSY28439 CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X PSY28439 CA Primary

Addresses

Primary practice location

20094 Mission Blvd
Hayward, CA 94541-1237

Mailing address

7286 E Cortland Avenue
Fresno, CA 93737
Phone (559) 666-0402

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY28439CAMDPsychologist
28439CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Alternatives to Addiction, Research and Treatment Inc. Past Accepting new patients
Humanistic Alternatives to Addiction Research and Treatment, Inc. Past Accepting new patients

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1376821728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7286 E CORTLAND AVENUE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93737",
            "telephone_number": "559-666-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20094 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411237",
            "telephone_number": "510-727-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATSTEIN",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28439",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.