Kent Grelling, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 15497 Issued in CA

Practice address

61 Avenida de Orinda # 110
Orinda, CA 94563-2327

Phone

(925) 215-8694

Fax

(925) 235-7321

NPI assigned

Feb 10, 2007

Last updated

Jul 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 13, 2018 through Apr 13, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grelling Psychology Associates P a

  • Psychologist
  • Orinda, CA
  • NPI 1316088388
  NPD

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1053452029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21C ORINDA WAY # 141",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632534",
            "telephone_number": "925-215-8694",
            "fax_number": "925-235-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 AVENIDA DE ORINDA # 110",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632327",
            "telephone_number": "925-215-8694",
            "fax_number": "925-235-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELLING",
        "first_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 15497",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15497",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15497",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY15497",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY 15497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Gordon, M.D.
• James Stephen Gracer, M.D.
• Green Leaf, a Psychological Services Corporation
• Grelling Psychology Associates P a
• Barbara Zachary Grelling, PH.D.
• John Grigsby, A.T.C.
• Marlee Gross, ATC
• H2Ors, Inc.
• Allison Lee Haag
• Joseph Haggerty III, MD

• Psychologist in Orinda, CA
• Providers in Orinda, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.