DR. SAURABH GUPTA PH.D.
NPI 1356637185
Clinical Neuropsychologist in San Diego, CA

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
3990 OLD TOWN AVE, STE. A-208, SAN DIEGO, CA 92110(619) 537-9345(619) 269-9245 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Saurabh Gupta Ph.d. NPPES

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

DR. SAURABH GUPTA PH.D. (NPI 1356637185) is an individual clinical neuropsychologist in San Diego, California, licensed in California (PSY24218) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1356637185
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. SAURABH GUPTACredential: PH.D.
Location Address3990 OLD TOWN AVE, STE. A-208San Diego, CA 92110-2930
Mailing Address3990 Old Town Ave, Ste. A-208San Diego, CA 92110-2930 · (619) 537-9345 · Fax (619) 269-9245
Fax(619) 269-9245
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 20, 2011
Last NPPES UpdateAugust 8, 2012
NPI 1356637185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in CA · PSY24218
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 ListedPsychologistTaxonomy 103T00000X · License PSY24218 (CA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY24218 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY24218 (CA)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License PSY24218 (CA)
3990 OLD TOWN AVE, San Diego, CA 92110

Other Names 1

Professional Name (2)Dr. Syrus Gupta Ph.d.

Other Identifiers 1

Other12258947Caqh

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. Saurabh Gupta Ph.d. 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 ID7911177480
PECOS Enrollment IDI20110819000554
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
115 services16 patients

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.

Marriage & Family Therapist
3990 OLD TOWN AVE, SUITE 209A
SAN DIEGO, CA 92110
Social Worker
3990 OLD TOWN AVE, STE 209A
SAN DIEGO, CA 92110
Chiropractor
3990 OLD TOWN AVE, STE A-105
SAN DIEGO, CA 92110
Social Worker (Clinical)
3990 OLD TOWN AVE
SAN DIEGO, CA 92110
Counselor (Mental Health)
3990 OLD TOWN AVE, C107
SAN DIEGO, CA 92110
Marriage & Family Therapist
3990 OLD TOWN AVE, SUITE A207
SAN DIEGO, CA 92110
Counselor (Mental Health)
3990 OLD TOWN AVE
SAN DIEGO, CA 92110
Acupuncturist
3990 OLD TOWN AVE, STE B107
SAN DIEGO, CA 92110

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 Saurabh Gupta's NPI number?

The NPI number for Saurabh Gupta is 1356637185. It was assigned to this individual provider in the NPPES registry on June 20, 2011. The provider is also known as Dr. Syrus Gupta Ph.D..

Where is Saurabh Gupta located?

Saurabh Gupta practices at 3990 Old Town Ave Ste. A-208, San Diego, CA 92110. The listed phone number is (619) 537-9345.

What is Saurabh Gupta's specialty?

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

Is Saurabh Gupta enrolled in Medicare?

Yes. Saurabh Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Saurabh Gupta was last updated on August 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.