Individual provider Active NPI

Gretchen Ann Pound

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1124229638
Registry record updated Apr 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21504 Issued in CA
Practice address
138 B Ave
San Diego, CA 92118-1511
Phone
(858) 663-7285
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 21504 CA Primary

Addresses

Primary practice location

138 B Ave
San Diego, CA 92118-1511

Mailing address

138 B Ave
San Diego, CA 92118-1511
Phone (858) 663-7285

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
I20071017000410 CA Practitioner - Clinical Psychologist 6608962030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10929 Chardonnay PL
San Diego, CA 92131-1509
Phone (858) 533-1450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21504CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Healing LLC Past Accepting new patients

Organizations & group practices 2

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207958400000",
    "number": "1124229638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 B AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921181511",
            "telephone_number": "858-663-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 B AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921181511",
            "telephone_number": "858-663-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUND",
        "first_name": "GRETCHEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.