Individual provider Active NPI

Gabriel Somarriba, PSYD

  • Psychologist
  • Solon, OH
National Provider Identifier
1518375476
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7450 Issued in OH
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

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0185103MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823003027 OH Practitioner - Clinical Psychologist 8426343963 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7450OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Jul 25, 2017 Accepting new patients
Berko Psychological Associates, Inc. CurrentSince Dec 21, 2025 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.