Active NPI
Gabriel Ghanoum, PSYD
- Psychologist
- Boca Raton, FL
National Provider Identifier
1427980390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- NA
- Practice address
- 859 Jeffery St Apt 610
Boca Raton, FL 33487-4137 - Phone
- (305) 775-1031
- Fax
- (305) 675-2899
- NPI assigned
- Jun 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NA | FL | Primary |
Addresses
Primary practice location
859 Jeffery St Apt 610
Boca Raton, FL 33487-4137
Mailing address
859 Jeffery St Apt 610
Boca Raton, FL 33487-4137
Phone (305) 794-5716
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": "1780358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1427980390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 JEFFERY ST APT 610",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334874137",
"telephone_number": "305-794-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 JEFFERY ST APT 610",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334874137",
"telephone_number": "305-775-1031",
"fax_number": "305-675-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANOUM",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.