Individual provider Active NPI

Cathie Faye Gum, PSY.D.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1467693218
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 22467 Issued in CA
Practice address
9171 Wilshire Blvd
Ste 670
Beverly Hills, CA 90210-5530
Phone
(310) 922-1698
Fax
(310) 872-5500
NPI assigned
Mar 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 22467 CA Primary

Addresses

Primary practice location

9171 Wilshire Blvd
Ste 670
Beverly Hills, CA 90210-5530

Mailing address

9171 Wilshire Blvd
Ste 670
Beverly Hills, CA 90210-5530
Phone (310) 922-1698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2022 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 22467CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cathie Gum, PSYD, a Psychologcial Corporation Clinical Past Accepting new patients

Organizations & group practices 1

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": "1236384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1467693218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD",
            "address_2": "STE 670",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105530",
            "telephone_number": "310-922-1698",
            "fax_number": "310-872-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD",
            "address_2": "STE 670",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105530",
            "telephone_number": "310-922-1698",
            "fax_number": "310-872-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUM",
        "first_name": "CATHIE",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-07",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.