Active NPI
Royce B. Garvin, PH.D.
- Psychologist
- Redwood City, CA
National Provider Identifier
1013139765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 9077
- Practice address
- 1690 Woodside Rd Ste 211
Redwood City, CA 94061-3402 - Phone
- (650) 368-0210
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 9077 | CA | Primary |
Addresses
Primary practice location
1690 Woodside Rd Ste 211
Redwood City, CA 94061-3402
Mailing address
3713 Red Oak Way
Redwood City, CA 94061-1132
Phone (650) 366-4978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9077 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013139765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 RED OAK WAY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940611132",
"telephone_number": "650-366-4978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 WOODSIDE RD STE 211",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940613402",
"telephone_number": "650-368-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARVIN",
"first_name": "ROYCE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 9077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.