Individual provider Active NPI

Adina Christiana Gabor-Gagea

  • Psychologist
  • Vancouver, WA
National Provider Identifier
1881969558
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1002 NE 91St Ave
Vancouver, WA 98664-2421
Phone
(360) 907-7189
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1002 NE 91St Ave
Vancouver, WA 98664-2421

Mailing address

1002 NE 91St Ave
Vancouver, WA 98664-2421
Phone (360) 907-7189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140929002496 NC Practitioner - Clinical Psychologist 1759501547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical CenterGroup PAC ID 0547178907, 105 clinicians
Brian S Hissom and Associates PLLCGroup PAC ID 6103087143, 3 clinicians

Practice addresses (Care Compare)

1120 Fairgrove Church Rd
Suite 12
Hickory, NC 28602-9630
Phone (828) 326-2828

205 E Union St
Morganton, NC 28655-3449
Phone (828) 433-9190

321 7TH St NE
Suite B
Hickory, NC 28601-5154
Phone (828) 485-2195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Center CurrentSince Mar 2, 2020 Accepting new patients
Catawba Valley Medical Center CurrentSince Mar 2, 2020 Accepting new patients
Brian S Hissom and Associates PLLC CurrentSince Aug 1, 2014 Accepting new patients
Lifeworks Professional Corporation Past Accepting new patients

Locations

1120 Fairgrove Church Rd
Ste 12
Hickory, NC 28602
Phone (828) 326-2828

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

321 7th St NE
Ste B
Hickory, NC 28601
Phone (828) 485-2195

205 E Union St
Morganton, NC 28655
Phone (828) 403-0421

Interoperability endpoints

  • Direct secure messaging: adinagaborgagea@bsa.direct.kno2fy.com

Organizations & group practices 4

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1881969558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 NE 91ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642421",
            "telephone_number": "360-907-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 NE 91ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642421",
            "telephone_number": "360-907-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOR-GAGEA",
        "first_name": "ADINA",
        "middle_name": "CHRISTIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.