Individual provider Active NPI

Gillian Alexa McCabe, PHD

  • Clinical Psychologist
  • Santa Fe, NM
National Provider Identifier
1730984451
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-2025-0004 Issued in NM
Practice address
8 Ladera Rd
Santa Fe, NM 87508-8301
Phone
(505) 289-7115
NPI assigned
Feb 17, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 PSY-2025-0004 NM Primary

Addresses

Primary practice location

8 Ladera Rd
Santa Fe, NM 87508-8301

Mailing address

12004 Zia Rd NE Apt E8
Albuquerque, NM 87123-1348
Phone (312) 576-8546

Other practice location 1

12004 Zia Rd NE Apt E8
Albuquerque, NM 87123-1348
Phone (312) 576-8546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250324001034 NM Practitioner - Clinical Psychologist 0648792267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Gold Standard Mental Health Institute PCGroup PAC ID 6608397435, 6 clinicians

Practice addresses (Care Compare)

8 Ladera Rd
Santa Fe, NM 87508-8301
Phone (505) 289-7115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-2025-0004NMMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Gold Standard Mental Health Institute, P.C CurrentSince Mar 20, 2025 Accepting new patients
Bradford C. Richards PastSince Feb 1, 2025 Accepting new patients

Organizations & group practices 2

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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1730984451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12004 ZIA RD NE APT E8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231348",
            "telephone_number": "312-576-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LADERA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088301",
            "telephone_number": "505-289-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12004 Zia Rd NE Apt E8",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871231348",
            "country_code": "US",
            "telephone_number": "312-576-8546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "GILLIAN",
        "middle_name": "ALEXA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "PSY-2025-0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.