Healthcare Provider Details

I. General information

NPI: 1255992921
Provider Name (Legal Business Name): GABRIELA SABATER-RAFFUCCI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 BELLEVUE AVE
OAKLAND CA
94610-4923
US

IV. Provider business mailing address

2019 E 17TH ST
OAKLAND CA
94606-4603
US

V. Phone/Fax

Practice location:
  • Phone: 510-213-2591
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY36830
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: