Patricia May Abad Gisbert, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY27438 Issued in CA

Practice address

17772 Irvine Blvd Ste 103
Tustin, CA 92780-3233

Phone

(714) 696-1385

Fax

(888) 972-4028

NPI assigned

Sep 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Patricia May Abad Victoria an Gisbert Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Child and Adolescent Behavioral Health Center

  • Clinical Child & Adolescent Psychologist
  • Tustin, CA
  • NPI 1053835496
  NPD
• Child and Adolescent Behavioral Health Center, a Psychology Corp.

  • Clinical Child & Adolescent Psychologist
  • Tustin, CA
  • NPI 1205314077
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881889111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17772 IRVINE BLVD.",
            "address_2": "STE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-696-1385",
            "fax_number": "888-972-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17772 IRVINE BLVD STE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803233",
            "telephone_number": "714-696-1385",
            "fax_number": "888-972-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2223 E Wellington Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927013109",
            "country_code": "US",
            "telephone_number": "714-558-0303",
            "fax_number": "714-558-0324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26161 La Paz Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926915334",
            "country_code": "US",
            "telephone_number": "714-696-1385",
            "fax_number": "888-972-4028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GISBERT",
        "first_name": "PATRICIA",
        "middle_name": "MAY ABAD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27438",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY27438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "18881889111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GISBERT",
            "middle_name": "MAY ABAD VICTORIA AN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Child & Adolescent Psychologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.