Gloria Jean Ghanem-Ybarra, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19964 Issued in CA

Practice address

32605 Highway 79 South
Suite 202
Temecula, CA 92592

Phone

(760) 443-1355

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compassionate Therapy Psychological Services, Inc.

  • Clinical Psychologist
  • Temecula, CA
  • NPI 1083876676
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679668040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892968",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92589",
            "telephone_number": "760-443-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 HIGHWAY 79 SOUTH",
            "address_2": "SUITE 202",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "760-443-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM-YBARRA",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "OPL199640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Canavan Gerdes
• Rania Gerges
• Heidi Gergurich, LCSW
• Geri-Fit Company LLC
• Gary Carl Geroza, PTA
• Ariga Gharibian
• Kaitlyn Mitra Ghassemi, DO
• GHC of Tem - Rcfe, LLC
• GHC of Tem - Rcfe, LLC
• GHC of Tem-SNF, LLC

• Clinical Psychologist in Temecula, CA
• Providers in Temecula, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.