Individual provider Active NPI

Paulina Gluck, PSYD

  • Intellectual & Developmental Disabilities Psychologist
  • Santa Monica, CA
National Provider Identifier
1477429777
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
PSY34432 Issued in CA
Practice address
2730 Wilshire Blvd Ste 425
Santa Monica, CA 90403-4747
Phone
(949) 694-5700
NPI assigned
Oct 14, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY34432 CA Primary

Addresses

Primary practice location

2730 Wilshire Blvd Ste 425
Santa Monica, CA 90403-4747

Mailing address

12459 Saddleridge CT
Santa Rosa Valley, CA 93012-9341
Phone (805) 698-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260119000361 CA Practitioner - Clinical Psychologist 3678050945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12459 Saddleridge CT
Santa Rosa Valley, CA 93012-9341

18436 Hawthorne Blvd
Suite 210
Torrance, CA 90504-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY34432CAMDIntellectual & Developmental Disabilities Psychologist
34432CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Medical Group of California PC Intellectual & Developmental Disabilities CurrentSince Dec 9, 2025 Accepting new patients

Locations

2730 Wilshire Blvd
Ste 425
Santa Monica, CA 90403
Phone (949) 694-5700

333 W El Camino Real
Ste 230
Sunnyvale, CA 94087
Phone (949) 694-5700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1477429777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12459 SADDLERIDGE CT",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930129341",
            "telephone_number": "805-698-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 425",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034747",
            "telephone_number": "949-694-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "PAULINA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY34432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.