Individual provider Active NPI

Giselle Faubel, PSY. D.

  • Clinical Psychologist
  • Southwest Ranches, FL
National Provider Identifier
1730392283
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6088 Issued in FL
Practice address
18130 SW 50TH CT
Southwest Ranches, FL 33331-1024
Phone
(954) 661-8586
Fax
(954) 252-0074
NPI assigned
May 8, 2007
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6088 FL Primary

Addresses

Primary practice location

18130 SW 50TH CT
Southwest Ranches, FL 33331-1024

Mailing address

18130 SW 50TH CT
Southwest Ranches, FL 33331-1024
Phone (305) 205-3636

Other identifiers 1

IdentifierTypeStateIssuer
651001211OtherFLTAX

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

State licenses

LicenseStateTypeSpecialty
6088FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Equulibrium International Inc. CurrentSince Jul 24, 2022 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, 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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1730392283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18130 SW 50TH CT",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311024",
            "telephone_number": "305-205-3636",
            "fax_number": "954-252-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18130 SW 50TH CT",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311024",
            "telephone_number": "954-661-8586",
            "fax_number": "954-252-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBEL",
        "first_name": "GISELLE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "6088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX",
            "identifier": "651001211",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.