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DR. SAURABH GUPTA PH.D. NPI 1356637185


NPI Information

NPI: 1356637185
Provider Name: DR. SAURABH GUPTA, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Organization: SOUTHERN CALIFORNIA PSYCHOLOGY CENTERS APC

PECOS Registration: Yes

Address:
3990 OLD TOWN AVE
STE. A-208
SAN DIEGO, CA
ZIP 92110
Phone: (619) 537-9345
Get Directions

DR. Saurabh Gupta, PH.D. is a clinical neuropsychologist in San Diego, CA with 16 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Saurabh Gupta, PH.D. NPI is 1356637185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3990 OLD TOWN AVE
STE. A-208
SAN DIEGO, CA
ZIP 92110-930
Phone: (619) 537-9345
Fax: (619) 269-9245

The NPI 1356637185 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 6/20/2011 and was last updated on 8/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistPSY24218CALIFORNIANo
2103TC0700XPsychologistClinicalPSY24218CALIFORNIANo
3103TC1900XPsychologistCounselingPSY24218CALIFORNIANo
4103TF0200XPsychologistForensicPSY24218CALIFORNIANo
5103G00000XClinical NeuropsychologistPSY24218CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112258947OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.