Individual provider Active NPI

Richard Herbert Gelbard, PH.D.

  • Clinical Psychologist
  • Pleasanton, CA
National Provider Identifier
1811065733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 12038 Issued in CA
Practice address
7601 Stoneridge Drive
Kaiser Permanente, Department of Psychiatry
Pleasanton, CA 94588-2899
Phone
(925) 847-5519
Fax
(925) 847-5593
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 12038 CA Primary

Addresses

Primary practice location

7601 Stoneridge Drive
Kaiser Permanente, Department of Psychiatry
Pleasanton, CA 94588-2899

Mailing address

7601 Stoneridge Drive
Department of Psychiatry
Pleasanton, CA 94588-2899
Phone (925) 847-5519

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 12038CAMDClinical Psychologist
12038CAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811065733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 STONERIDGE DRIVE",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882899",
            "telephone_number": "925-847-5519",
            "fax_number": "925-847-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 STONERIDGE DRIVE",
            "address_2": "KAISER PERMANENTE, DEPARTMENT OF PSYCHIATRY",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882899",
            "telephone_number": "925-847-5519",
            "fax_number": "925-847-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELBARD",
        "first_name": "RICHARD",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 12038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.