Provider Demographics
NPI:1942312467
Name:GELBART, MORRIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:
Last Name:GELBART
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 SILVER SPUR RD STE 373
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3991
Mailing Address - Country:US
Mailing Address - Phone:310-257-5751
Mailing Address - Fax:
Practice Address - Street 1:3333 SKYPARK DR STE 200
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5035
Practice Address - Country:US
Practice Address - Phone:310-257-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 6436103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP 6436Medicare ID - Type UnspecifiedPSYCHOLOGIST