Active NPI
Gregory Alter Group, Inc.
- Clinical Psychologist
- San Rafael, CA
National Provider Identifier
1154083558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- GREGORY ALTER GROUP, INC.
- Practice address
- 31 Carroll CT
San Rafael, CA 94903-3719 - Phone
- (510) 734-0885
- NPI assigned
- Oct 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Seth Alter, PH.D.
- Title
- Provider/Owner
- Phone
- (510) 734-0885
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
31 Carroll CT
San Rafael, CA 94903-3719
Mailing address
3812 Laurel Ave
Oakland, CA 94602-3925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY7422 | Other | CA | PSYCHOLOGY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1154083558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 LAUREL AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946023925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 CARROLL CT",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033719",
"telephone_number": "510-734-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY ALTER GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A",
"authorized_official_last_name": "ALTER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "SETH",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "510-734-0885",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY",
"identifier": "PSY7422",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.