Individual provider Active NPI

Marsha T Gabriel, PHD

  • Clinical Neuropsychologist
  • Fort Worth, TX
National Provider Identifier
1962589507
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
24410 Issued in TX
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

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424002815 TX Practitioner - Clinical Psychologist 2769908516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Medical Center CurrentSince Feb 16, 2025 Accepting new patients
Cook Children's Medical Center Clinical Neuropsychologist CurrentSince Feb 16, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.