Roger Brian Storrs, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY6992 Issued in CA

Practice address

9683 Tierra Grande St Ste 105
San Diego, CA 92126-6503

Phone

(858) 695-2237

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Tory D. Pepper, PH.D., a Professional Psychology Corporation

  • Psychologist
  • San Diego, CA
  • NPI 1528505237
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013024611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9683 TIERRA GRANDE ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266503",
            "telephone_number": "858-695-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9683 TIERRA GRANDE ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266503",
            "telephone_number": "858-695-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORRS",
        "first_name": "ROGER",
        "middle_name": "BRIAN",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY069922",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Jo Storie, PHARMD
• Jeffrey B. Stork, MD
• Michaela Storms
• Galina Trofimovna Storozhenko, LCSW, MSW
• Stacey Mariy Storozhenko
• Kenneth Allen Storum, DDS
• Amanda Story
• Brittny Story, SUDRC #20904
• Fran Story
• Randy E Stotland, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.