Active NPI
Marsha T Gabriel, PHD
- Clinical Neuropsychologist
- Fort Worth, TX
National Provider Identifier
1962589507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 24410
- Practice address
- 1521 Cooper St
Fort Worth, TX 76104-2711 - Phone
- (682) 885-7450
- Fax
- (682) 885-3308
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 24410 | TX | Primary |
Addresses
Primary practice location
1521 Cooper St
Fort Worth, TX 76104-2711
Mailing address
PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-4871
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgabriel13786@CookChildrens.direct-ci.com | ||
| Direct Messaging Address | mgabriel13786@cookchildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children's Medical Center | Current | Accepting new patients | |
| Cook Children's Medical Center | Clinical Neuropsychologist | Current | Accepting new patients |
| Cook Children's Medical Center | Current | Accepting new patients |
Locations
1500 Cooper St
Ft Worth, TX 76104
Phone (682) 885-2500
Interoperability endpoints
- mgabriel13786@cookchildrens.direct-ci.com
Organizations & group practices 3
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.
-
- Clinical Child & Adolescent Psychologist
- Fort Worth, TX
- NPI 1710702907
-
dba Cook Children's Neurosciences
- Clinical Neuropsychologist
- Fort Worth, TX
- NPI 1215236245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1962589507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99213",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990213",
"telephone_number": "682-885-4871",
"fax_number": "682-885-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 COOPER ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042711",
"telephone_number": "682-885-7450",
"fax_number": "682-885-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "MARSHA",
"middle_name": "T",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "24410",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgabriel13786@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "429 S Ballinger St",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761041008",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgabriel13786@cookchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "1521 Cooper St",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761042711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.