Nicole L Gabriel, LCSW
Individual provider Active NPI Clinical Psychologist · Westport, CT
NPI 1891891719 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1891891719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 003148 (CT)
- Practice address
- 4 Whitney Street Ext
Westport, CT 06880-3768 - Phone
- (203) 810-6090
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003148 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Gabriel, LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 003148 | CT | Yes |
Addresses
Primary practice location
4 Whitney Street Ext
Westport, CT 06880-3768
Mailing address
6B Barry Ave
Ridgefield, CT 06877-4424
Phone (484) 437-6693
Other providers in Westport, CT
- Barbara Ann Frumkin
- Samuel Frumkin
- Emily Fuehring
- Tanya S Futoryan
- Julie S. Gabriel
- Genevieve Carino Gacula
- James Paul Gadzik
- Lindsay Gadzik
- Susan Marie Gaffney
- Margaret M Galiani
All providers in Westport, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.