Active NPI
Gabriel Somarriba, PSYD
- Psychologist
- Solon, OH
National Provider Identifier
1518375476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7450
- Practice address
- 6575 Ashton LN
Solon, OH 44139-3213 - Phone
- (440) 668-8564
- Fax
- (877) 844-4869
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 7450 | OH | Primary |
Addresses
Primary practice location
6575 Ashton LN
Solon, OH 44139-3213
Mailing address
PO Box 391057
Solon, OH 44139-8057
Phone (440) 668-8564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0185103 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7450 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current | Accepting new patients | |
| Berko Psychological Associates, Inc. | Current | Accepting new patients |
Locations
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
4212 State Route 306
Ste 100
Willoughby, OH 44094
Phone (440) 973-8400
Interoperability endpoints
- pbc.gabrielsomarriba@140094.advancedmd-direct.com
Organizations & group practices 3
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.
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
-
- Professional Counselor
- Cleveland HTS, OH
- NPI 1982947859
-
- Family Nurse Practitioner
- Solon, OH
- NPI 1689712739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1518375476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 391057",
"city": "SOLON",
"state": "OH",
"postal_code": "441398057",
"telephone_number": "440-668-8564",
"fax_number": "877-844-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6575 ASHTON LN",
"city": "SOLON",
"state": "OH",
"postal_code": "441393213",
"telephone_number": "440-668-8564",
"fax_number": "877-844-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMARRIBA",
"first_name": "GABRIEL",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "7450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0185103",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Solon, OH
- Solon Pointe at Emerald Ridge, LLC (Emerald Ridge)
- Solon Pointe Healthcare LLC (Solon Pointe at Emerald Ridge)
- Solon Pointe Healthcare LLC (Solon Pointe at Emerald Ridge)
- Solon Smiles - Dr. Michael S. Jack, DDS, LLC
- Karen Solonche, LPC
- Steven B Sorin, MD
- Brittany Sorn, CCC-SLP
- Source Diagnostics LLC
- Savina Sparker
- Katherine Spilker, PHARMD, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.