National Provider Identifier Database

GARY G BALESTIN, PHD, ABPN, LMFT – NPI #1902878366
Intellectual & Developmental Disabilities

Contact Information

GARY G BALESTIN, PHD, ABPN, LMFT
1475 HUNTINGTON AVE
SUITE 201
SOUTH SAN FRANCISCO, CA  94080-5990
Phone: 650-588-3808
Fax: 650-873-5857
Website:
Specialty Taxonomy Code
* Intellectual & Developmental Disabilities 103TM1800X
Clinical 103TC0700X
Clinical Child & Adolescent 103TC2200X
Clinical Neuropsychologist 103G00000X
Forensic 103TF0200X
Marriage & Family Therapist 106H00000X
Rehabilitation 103TR0400X

* Indicates primary specialty

NPI Profile & details for GARY G BALESTIN

NPI Number 1902878366
Credentials PHD, ABPN, LMFT
Entity Individual
Enumeration date 02/01/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • CA License #: LMFT6806
  • CA License #: PSY5030
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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