John Paul Rettger, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27863 Issued in CA

Practice address

731 S Highway 101 Ste Office12
Solana Beach, CA 92075-2629

Phone

(650) 930-0170

NPI assigned

Oct 17, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspring Psychology PCGroup PAC ID 4385948041, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Wellspring Psychology PC

  • Clinical Psychologist
  • Los Gatos, CA
  • NPI 1841655545
  Medicare reassignment Care Compare group NPD
• Wellspring Psychology PC

  • Clinical Psychologist
  • Los Gatos, CA
  • NPI 1710394911
  NPD

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1124594114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920070331",
            "telephone_number": "650-930-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S HIGHWAY 101 STE OFFICE12",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752629",
            "telephone_number": "650-930-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6540 Lusk Blvd Ste C234",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921215798",
            "country_code": "US",
            "telephone_number": "650-930-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETTGER",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Michael Quaas, M.D., PH.D.
• Rady Children'S Hospital San Diego
• Robert Alexander Randolph, D.D.S.
• Kathleen B. Rapp, LCSW
• William D Rawlings, DDS, MSD, MSD
• Brittany Revell, PT, DPT
• Randy Reyes, NP
• Rich Hycner, PH.D.
• Rise Physical Therapy Inc
• Shacy Rivera, ND, MPH

• Clinical Psychologist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.