DR. GARY G. BALESTIN PHD ABPN LMFT NPI 1902878366

NPI Information

NPI: 1902878366
Provider Name: DR. GARY G. BALESTIN, PHD, ABPN, LMFT
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
1475 HUNTINGTON AVE
SUITE 201
SOUTH SAN FRANCISCO, CA
ZIP 94080
Phone: (650) 588-3808
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DR. Gary G. Balestin, PHD, ABPN, LMFT is a clinical neuropsychologist in South San Francisco, CA. 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. Gary G. Balestin, PHD, ABPN, LMFT NPI is 1902878366. 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:

1475 HUNTINGTON AVE
SUITE 201
SOUTH SAN FRANCISCO, CA
ZIP 94080-990
Phone: (650) 588-3808
Fax: (650) 873-5857

The enumeration date for this NPI number is 2/1/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		PSY5030	CALIFORNIA	Yes
2	103TC0700X	Psychologist	Clinical	PSY5030	CALIFORNIA	X
3	106H00000X	Marriage & Family Therapist		LMFT6806	CALIFORNIA	X
4	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY5030	CALIFORNIA	X
5	103TR0400X	Psychologist	Rehabilitation	PSY5030	CALIFORNIA	X
6	103TF0200X	Psychologist	Forensic	PSY5030	CALIFORNIA	X
7	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PSY5030	CALIFORNIA	X

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: 5/5/2024

NPI Synchronization or Removal

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