DR. JACQUELINE MICHELLE GAMBOA PSY.D.
NPI 1083948046
Psychologist - Clinical in San Diego, CA

Q: What is Jacqueline Gamboa's NPI number?

The NPI number for Jacqueline Gamboa is 1083948046. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Q: What is Jacqueline Gamboa's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Gamboa was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2009

12625 HIGH BLUFF DR, SUITE 114, SAN DIEGO, CA 92130(858) 492-8445(858) 492-8445 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jacqueline Michelle Gamboa Psy.d. NPPES

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

DR. JACQUELINE MICHELLE GAMBOA PSY.D. (NPI 1083948046) is an individual clinical provider in San Diego, California, licensed in California (PSY22784) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1083948046

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACQUELINE MICHELLE GAMBOACredential: PSY.D.

Location Address12625 HIGH BLUFF DR, SUITE 114San Diego, CA 92130-2052

Mailing AddressPo Box 904La Jolla, CA 92038-0904

Phone(858) 492-8445

Fax(858) 492-8445

Sole ProprietorYes

Enumeration DateSeptember 23, 2009

Last NPPES UpdateJune 3, 2010

✔ NPI 1083948046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY22784

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PSY22784 (CA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY22784 (CA)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY22784 (CA)

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PSY22784 (CA)

12625 HIGH BLUFF DR, San Diego, CA 92130

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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. CARRIE JAFFE PH.D

Psychologist (Clinical)

12625 HIGH BLUFF DR, #101
SAN DIEGO, CA 92130

San Diego County (858) 208-9689

WCS INC.

Speech-Language Pathologist

12625 HIGH BLUFF DR, STE 104
SAN DIEGO, CA 92130

San Diego County (858) 794-9514

DR. SUSAN LAGASSE PH.D.

Psychologist (Clinical)

12625 HIGH BLUFF DR
SAN DIEGO, CA 92130

San Diego County (858) 793-8768

DR. MICHAEL KORNBERG M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

12625 HIGH BLUFF DR, SUITE 305
SAN DIEGO, CA 92130

San Diego County (858) 279-1223

DR. CRISTINA BAROLET GARCIA MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

12625 HIGH BLUFF DR
SAN DIEGO, CA 92130

San Diego County (818) 634-6491

DR. DARLENE B SWEETLAND PH.D.

Psychologist (Clinical)

12625 HIGH BLUFF DR, SUITE #104
SAN DIEGO, CA 92130

San Diego County (858) 382-1137

MS. JEANNINE JOYCE REEVES MFT

Marriage & Family Therapist

12625 HIGH BLUFF DR, STE. 113
SAN DIEGO, CA 92130

San Diego County (858) 229-9346

MISS KIMBERLY DUCKER

Specialist/Technologist (Speech-Language Assistant)

12625 HIGH BLUFF DR, SUITE #113
SAN DIEGO, CA 92130

San Diego County (858) 488-4810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Gamboa's NPI number?

The NPI number for Jacqueline Gamboa is 1083948046. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Jacqueline Gamboa located?

Jacqueline Gamboa practices at 12625 High Bluff Dr Suite 114, San Diego, CA 92130. The listed phone number is (858) 492-8445.

What is Jacqueline Gamboa's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline Gamboa was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.