Healthcare Provider Details

I. General information

NPI: 1124282256
Provider Name (Legal Business Name): GARY STEPHEN GELBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 11/09/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MAGDALENA CT
MILL VALLEY CA
94941-1223
US

IV. Provider business mailing address

41 MAGDALENA CT
MILL VALLEY CA
94941-1223
US

V. Phone/Fax

Practice location:
  • Phone: 415-383-0543
  • Fax: 415-388-5764
Mailing address:
  • Phone: 415-383-0543
  • Fax: 415-388-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA22799
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: