Individual provider Active NPI

Sarah Newton Gruszka, PSYD

  • Psychologist
  • Solana Beach, CA
National Provider Identifier
1003323189
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
28978 Issued in CA
Practice address
440 Stevens Ave Ste 200
Solana Beach, CA 92075-2059
Phone
(443) 534-4268
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 05632 MD
Psychologist 103T00000X 28978 CA Primary

Addresses

Primary practice location

440 Stevens Ave Ste 200
Solana Beach, CA 92075-2059

Mailing address

440 Stevens Ave Ste 200
Solana Beach, CA 92075-2059
Phone (443) 534-4268

Other practice location 1

770 Washington St
200
San Diego, CA 92103-2204
Phone (443) 534-4268

Other identifiers 2

IdentifierTypeStateIssuer
28978OtherCAPSYCHOLOGY LICENSE
05632OtherMDPSYCHOLOGY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05632MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sakura Wellness & Psychological Services Inc Psychologist Current Accepting new patients
Aloha Integrative Health CurrentSince May 9, 2020 Accepting new patients

Locations

4510 Executive Dr
Ste 108
San Diego, CA 92121
Phone (619) 333-3515

4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515

440 Stevens Ave
Ste 200
Solana Beach, CA 92075
Phone (443) 534-4268

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21563/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sarah.gruszka.1@21563.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1003323189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 STEVENS AVE STE 200",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752059",
            "telephone_number": "443-534-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 STEVENS AVE STE 200",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752059",
            "telephone_number": "443-534-4268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Washington St",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032204",
            "country_code": "US",
            "telephone_number": "443-534-4268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUSZKA",
        "first_name": "SARAH",
        "middle_name": "NEWTON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05632",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "28978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "28978",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "05632",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

Verify at the official NPI Registry.