Organization Active NPI

One Door Psychology, Inc

  • Clinical Psychologist
  • Pacific Grove, CA
National Provider Identifier
1114454238
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
CA27001 Issued in CA
Legal business name
ONE DOOR PSYCHOLOGY, INC
Practice address
680 Lighthouse Ave Unit 51355
Pacific Grove, CA 93950-8071
Phone
(831) 402-3838
Fax
(831) 747-1095
NPI assigned
May 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Dr. Robert Swanson, PHDNPI 1184794877
Title
Clinical Psychologist
Phone
(831) 402-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X CA27001 CA Primary

Addresses

Primary practice location

680 Lighthouse Ave Unit 51355
Pacific Grove, CA 93950-8071

Mailing address

680 Lighthouse Ave Unit 51355
Pacific Grove, CA 93950-8071
Phone (831) 402-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171012002520 CA Part B Supplier - Clinic/Group Practice 0143595439 Receives reassigned benefits from 1 practitioner
Practice locations: Pebble Beach, CA

National Provider Directory

National Provider Directory

Locations

150 Carmelito Ave
Ste 200
Monterey, CA 93940
Phone (831) 402-3838

215 W Franklin St
Ste 204
Monterey, CA 93940
Phone (831) 402-3838

680 Lighthouse Ave
Unit 51355
Pacific Grove, CA 93950
Phone (831) 402-3838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1114454238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 LIGHTHOUSE AVE UNIT 51355",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939508071",
            "telephone_number": "831-402-3838",
            "fax_number": "831-747-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 LIGHTHOUSE AVE UNIT 51355",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939508071",
            "telephone_number": "831-402-3838",
            "fax_number": "831-747-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE DOOR PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "831-402-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "CA27001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.