Active NPI
Gregg Allen Lewis, PSYD
- Clinical Psychologist
- Woodbridge, CA
National Provider Identifier
1184891996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15313
- Practice address
- 18826 N Lower Sacramento Rd
Suite C
Woodbridge, CA 95258-9290 - Phone
- (209) 368-2532
- NPI assigned
- May 12, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY15313 | CA | Primary |
Addresses
Primary practice location
18826 N Lower Sacramento Rd
Suite C
Woodbridge, CA 95258-9290
Mailing address
18826 Lower Sacramento Rd.
Suite C
Woodbridge, CA 95258-9290
Phone (209) 368-2532
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15313 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank Anthony Garcia, LMFT | Past | Accepting new patients | |
| Riverside Therapy Group | 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.
-
- Marriage & Family Therapist
- Woodbridge, CA
- NPI 1902741648
-
- Adolescent and Children Mental Health Clinic/Center
- Woodbridge, CA
- NPI 1487131595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1184891996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18826 LOWER SACRAMENTO RD.",
"address_2": "SUITE C",
"city": "WOODBRIDGE",
"state": "CA",
"postal_code": "952589290",
"telephone_number": "209-368-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18826 N LOWER SACRAMENTO RD",
"address_2": "SUITE C",
"city": "WOODBRIDGE",
"state": "CA",
"postal_code": "952589290",
"telephone_number": "209-368-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "GREGG",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.