Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Michelle Gamboa, PSYD

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1083948046

Dr. Jacqueline Michelle Gamboa, PSYD is an Addiction (Substance Use Disorder) Psychologist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
5
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

12625 High Bluff Dr Ste 114
San Diego, CA 92130-2052
Phone: (858) 492-8445
Fax: (858) 492-8445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY22784 (CA)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence PSY22784 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY22784 (CA)
Family Psychologist Taxonomy 103TF0000X · Licence PSY22784 (CA)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence PSY22784 (CA)

Record details

NPI number1083948046
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 23, 2009
Last updated in NPPESJune 3, 2010

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