Individual provider Active NPI

Vera Irene Gabliani, PHD

  • Clinical Psychologist
  • Kirkwood, MO
National Provider Identifier
1649303686
Registry record updated Aug 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY01679 Issued in MO
Practice address
10900 Manchester Road
Suite #201
Kirkwood, MO 63122-1200
Phone
(314) 966-0880
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PY01679 MO
Clinical Psychologist 103TC0700X PY01679 MO Primary

Addresses

Primary practice location

10900 Manchester Road
Suite #201
Kirkwood, MO 63122-1200

Mailing address

10900 Manchester Road
Suite #201
Kirkwood, MO 63122-1200
Phone (314) 966-0880

Other identifiers 1

IdentifierTypeStateIssuer
264997OtherMOHEALTHLINK

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY01679MOMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Consultants, Inc. PastSince Dec 31, 1991 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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220140800000",
    "number": "1649303686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 MANCHESTER ROAD",
            "address_2": "SUITE #201",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221200",
            "telephone_number": "314-966-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 MANCHESTER ROAD",
            "address_2": "SUITE #201",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221200",
            "telephone_number": "314-966-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABLIANI",
        "first_name": "VERA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MO",
            "license": "PY01679",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY01679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "264997",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.