Active NPI
Robert Swanson, PHD
- Psychologist
- Pacific Grove, CA
National Provider Identifier
1184794877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 680 Lighthouse Ave Unit 51355
Pacific Grove, CA 93950-8071 - Phone
- (831) 402-3838
- Fax
- (831) 747-1095
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 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
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Pebble Beach, CA 93953
Phone (831) 402-3838
680 Lighthouse Ave
Unit 51355
Pacific Grove, CA 93950-9998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
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
- Pacific Grove, CA
- NPI 1114454238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1184794877",
"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": {
"last_name": "SWANSON",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"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; 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.