Gabriel John Hubbard, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27815 Issued in CA

Practice address

595 E Colorado Blvd
Suite 409
Pasadena, CA 91101-2039

Phone

(626) 344-7895

NPI assigned

Jul 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychological Health and Wellness Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
  • NPI 1275166472
  NPD (past)

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1760770424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD",
            "address_2": "SUITE 409",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012039",
            "telephone_number": "626-344-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD",
            "address_2": "SUITE 409",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012039",
            "telephone_number": "626-344-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "GABRIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Huang, M.D.
• Xuhua Huang, PA-C
• Darlyn Huato
• Mariela Patricia Huazano Heredia
• Amy J Hubbard
• Hubert Reyes MD a Professional Corporation (R & R Dermatology)
• Michelle Lee Hubert, N.P.
• Hubka Chiropractic Corporation
• Mark A Hubka, D.C.
• Michael Jon Hubka, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.