Active NPI
Pilar Antonia Gonzalez-Doupe, PH.D., M.SC.
- Counseling Psychologist
- Davis, CA
National Provider Identifier
1154820439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY29780
- Practice address
- 207 E St Ste B
Davis, CA 95616-4523 - Phone
- (530) 206-9996
- Fax
- (530) 206-9996
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY29780 | CA | Primary |
Addresses
Primary practice location
207 E St Ste B
Davis, CA 95616-4523
Mailing address
PO Box 4102
Davis, CA 95617-4102
Other practice location 1
203 F St Ste E
Davis, CA 95616-4510
Phone (530) 206-9996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY29780 | Other | CA | BOARD OF PSYCHOLOGY |
Other names 1
- Dr. Pilar Antonia Gonzalez-Grey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29780 | CA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acacia Psychological Corporation | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Davis, CA
- NPI 1295279883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1154820439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4102",
"city": "DAVIS",
"state": "CA",
"postal_code": "956174102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E ST STE B",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164523",
"telephone_number": "530-206-9996",
"fax_number": "530-206-9996"
}
],
"practiceLocations": [
{
"address_1": "203 F St Ste E",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956164510",
"country_code": "US",
"telephone_number": "530-206-9996",
"fax_number": "530-206-9996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ-DOUPE",
"first_name": "PILAR",
"middle_name": "ANTONIA",
"name_prefix": "Dr.",
"credential": "PH.D., M.SC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY29780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCHOLOGY",
"identifier": "PSY29780",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PILAR",
"last_name": "GONZALEZ-GREY",
"middle_name": "ANTONIA",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.