DR. GABRIEL TAN (PH.D) – Clinical Psychologist, NPI 1073627477

DR. GABRIEL TAN (PH.D) is a healthcare provider. based in Sugar land, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D. They hold a License No. 24013 (TX). The NPI Number for DR. GABRIEL TAN (PH.D) is 1073627477

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. GABRIEL TAN (PH.D)
NPI
1073627477
Phone
(346) 702-8936
Address
1259 MISTY LAKE COURT
Enumeration Date
19 August 2006
Last Update Date
29 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134087551
Graduation Year
1980 (46 years ago)
PAC ID
4688954936
Group Practice PAC ID
6103292586
Professional Enrollment ID
I20161203000241
Address ID
TX770926530HO11500FWYX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. GABRIEL TAN (PH.D)

  • 1259 MISTY LAKE COURT

    SUGAR LAND, TX 774985613

    Phone: (346) 702-8936

    Fax: (713) 794-7674

    Type: Mailing

  • 9525 KATY FREEWAY, STE 200

    HOUSTON, TX 77024

    Phone: (346) 702-8936

    Fax: (713) 794-7674

    Type: Location

  • Michael E. DeBakey VA Medical Center, 2002, Holcombe Boulevard, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    MICHEL E DEBAKEY VA MEDICAL CENTER (145)

    HOUSTON, TX 770304211

    Phone: (713) 794-8794

    Fax: (713) 794-7674

    Type: Location

  • 1259, Misty Lake Court, Sugar Land, Fort Bend County, Texas, 77498, United States

    SUGAR LAND, TX 774785613

    Phone: (832) 752-2276

    Fax: (713) 794-7674

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161203000241IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour36746$0
90791Psychiatric diagnostic evaluation3837$0
View full utilization report →

Insurance plans in this area (ZIP 77498)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103292586View full group profile
NameSpecialtyState
Clinical PsychologistTX

Reviews

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Frequently asked questions

How do payers reference DR. GABRIEL TAN (PH.D)?
For DR. GABRIEL TAN (PH.D), use NPI 1073627477 as the unique 10-digit identifier.
Is DR. GABRIEL TAN (PH.D) still an active registrant?
DR. GABRIEL TAN (PH.D) carries an active NPI according to the public dataset.
What kind of doctor is DR. GABRIEL TAN (PH.D)?
DR. GABRIEL TAN (PH.D) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. GABRIEL TAN (PH.D) located near Sugar Land?
DR. GABRIEL TAN (PH.D) currently maps to Sugar Land, Texas in this extract.
When was this NPI issued?
Enumeration for DR. GABRIEL TAN (PH.D) is noted as August 19, 2006 where the registry provides it.

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