Individual provider Active NPI

Margaret Ann Struchen, PH.D.

  • Clinical Neuropsychologist
  • Campbell, CA
National Provider Identifier
1114361995
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
30977 Issued in CA
Practice address
2155 S Bascom Ave Ste 103
Campbell, CA 95008-3200
Phone
(281) 546-4302
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 30895 TX
Rehabilitation Psychologist 103TR0400X 30895 TX
Rehabilitation Psychologist 103TR0400X 30977 CA
Clinical Neuropsychologist 103G00000X 30977 CA Primary

Addresses

Primary practice location

2155 S Bascom Ave Ste 103
Campbell, CA 95008-3200

Mailing address

1922 Tice Valley Blvd Unit 2817
Walnut Creek, CA 94595-5043
Phone (281) 546-4302

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200413002592 CA Practitioner - Clinical Psychologist 1557799376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2121 N California Blvd
Suite 290
Walnut Creek, CA 94596-7351
Phone (925) 332-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30977CAMDRehabilitation Psychologist
30895TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Rehabilitation Psychology and Neuropsychology, PC Clinical Neuropsychologist CurrentSince Feb 1, 2020 Accepting new patients

Locations

1922 Tice Valley Blvd
Unit 2817
Walnut Creek, CA 94595

2121 N California Blvd
Walnut Creek, CA 94596
Phone (925) 332-3100

Organizations & group practices 1

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1114361995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 TICE VALLEY BLVD UNIT 2817",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945955043",
            "telephone_number": "281-546-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 S BASCOM AVE STE 103",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083200",
            "telephone_number": "281-546-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUCHEN",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "30895",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "30895",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "30977",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "30977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.