Individual provider Active NPI

Gabriella Guzman, PSYD

  • Clinical Psychologist
  • Martinsville, NJ
National Provider Identifier
1760108054
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI006677400 Issued in NJ
Practice address
52 Loft Dr
Martinsville, NJ 08836-2261
Phone
(908) 672-0736
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 35SI006677400 NJ Primary

Addresses

Primary practice location

52 Loft Dr
Martinsville, NJ 08836-2261

Mailing address

52 Loft Dr
Martinsville, NJ 08836-2261
Phone (908) 672-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • 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
I20250429002314 NJ Practitioner - Clinical Psychologist 8820514243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI006677400NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moona Medical Group of New Jersey PC CurrentSince Feb 10, 2025 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1760108054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 LOFT DR",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362261",
            "telephone_number": "908-672-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 LOFT DR",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362261",
            "telephone_number": "908-672-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "GABRIELLA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI006677400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, NJ

Sources for this page

Verify at the official NPI Registry.