Paul Kiritsis, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32702 Issued in CA

Practice address

111 Deerwood Road
Suite 200
San Ramon, CA 94583-4409

Phone

(925) 270-4499

Fax

(925) 270-4499

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Attentive Cognitive and Mental Health Services Psychology Inc.Group PAC ID 9537580428, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.8 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Attentive Cognitive and Mental Health Services Psychology Inc.

  • Community/Behavioral Health Agency
  • San Ramon, CA
  • NPI 1902427438
  Medicare reassignment Care Compare group NPD
• Community Institute for Psychotherapy

  • Voluntary or Charitable Agency
  • San Rafael, CA
  • NPI 1760403794
  NPD (past)
• Community Institute for Psychotherapy

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1780995258
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1003336868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD ROAD",
            "address_2": "SUITE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834409",
            "telephone_number": "925-270-4499",
            "fax_number": "925-270-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD ROAD",
            "address_2": "SUITE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834409",
            "telephone_number": "925-270-4499",
            "fax_number": "925-270-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRITSIS",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Maurice King, DDS
• Nicole King
• Sydney King
• Vanya King
• Elizabeth McKenzie Kipe, PA
• Tyler Kirk
• Jeannette Alise Kirrane, MSPT
• Erika Violet Kis, PHD
• Carmen Elena Kischmischian Castillo
• Sneha Kishorenath, M.D.

• Clinical Psychologist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.