DR. GLORIA LORRAINE VAN BREE PH.D.
NPI 1629306196
Counselor - Mental Health in Menlo Park, CA

Q: What is Gloria Van Bree's NPI number?

The NPI number for Gloria Van Bree is 1629306196. It was assigned to this individual provider in the NPPES registry on November 21, 2009.

Q: What is Gloria Van Bree's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Gloria Van Bree enrolled in Medicare?

No. Gloria Van Bree has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Gloria Van Bree was last updated on November 21, 2009. 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 November 21, 2009Opted out of Medicare · through Apr 1, 2028

445 BURGESS DR, #150, MENLO PARK, CA 94025(650) 964-7774(650) 657-9434 Get Directions Write a Review

NPPES record last updated: November 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Gloria Lorraine Van Bree Ph.d. NPPES

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

DR. GLORIA LORRAINE VAN BREE PH.D. (NPI 1629306196) is an individual mental health provider in Menlo Park, California, licensed in California (PSY10608) and active in the NPI registry since November 2009. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629306196

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDR. GLORIA LORRAINE VAN BREECredential: PH.D.

Location Address445 BURGESS DR, #150Menlo Park, CA 94025-3442

Mailing Address445 Burgess Dr, #150Menlo Park, CA 94025-3442 · (650) 964-7774 · Fax (650) 657-9434

Phone(650) 964-7774

Fax(650) 657-9434

Sole ProprietorYes

Enumeration DateNovember 21, 2009

✔ NPI 1629306196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · PSY10608

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License PSY10608 (CA)

445 BURGESS DR, Menlo Park, CA 94025

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gloria Lorraine Van Bree Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

BARBARA L GREEN

Social Worker (Clinical)

445 BURGESS DR, SUITE 150
MENLO PARK, CA 94025

San Mateo County (312) 405-0041

PETER PEARSON PH.D

Psychologist

445 BURGESS DR, SUITE #150
MENLO PARK, CA 94025

San Mateo County (650) 327-5915

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 Gloria Van Bree's NPI number?

The NPI number for Gloria Van Bree is 1629306196. It was assigned to this individual provider in the NPPES registry on November 21, 2009.

Where is Gloria Van Bree located?

Gloria Van Bree practices at 445 Burgess Dr #150, Menlo Park, CA 94025. The listed phone number is (650) 964-7774.

What is Gloria Van Bree's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gloria Van Bree enrolled in Medicare?

No. Gloria Van Bree has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gloria Van Bree was last updated on November 21, 2009. 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.