DR. MINDIA GABICHVADZE PSYD
NPI 1063747137
Clinical Neuropsychologist in Beverly Hills, CA

Q: What is Mindia Gabichvadze's NPI number?

The NPI number for Mindia Gabichvadze is 1063747137. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Q: What is Mindia Gabichvadze's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 07, 2009PECOS EnrolledAccepts Medicare Assignment

9713 SANTA MONICA BLVD STE 201, BEVERLY HILLS, CA 90210(310) 564-5400(844) 654-2900 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2023, Apr 11, 2023, Aug 9, 2022 and 7 more (10 updates tracked since 2016).

On this page

About Dr. Mindia Gabichvadze Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MINDIA GABICHVADZE PSYD (NPI 1063747137) is an individual clinical neuropsychologist in Beverly Hills, California, licensed in California (PSY34139) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063747137

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. MINDIA GABICHVADZECredential: PSYD

Location Address9713 SANTA MONICA BLVD STE 201Beverly Hills, CA 90210-4236

Mailing Address9713 Santa Monica Blvd Ste 201Beverly Hills, CA 90210-4236 · (310) 564-5400 · Fax (844) 654-2900

Phone(310) 564-5400

Fax(844) 654-2900

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 7, 2009

Last NPPES UpdateJuly 21, 202310 updates tracked since enumeration

NPPES CertifiedJuly 21, 2023

✔ NPI 1063747137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY34139

Definition

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY34139 (CA)

9713 SANTA MONICA BLVD STE 201, Beverly Hills, CA 90210

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mindia Gabichvadze Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294059499

PECOS Enrollment IDI20230414001707

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD ELTON FRECHE II

Psychologist (Clinical)