Individual provider Active NPI

Gregg Michael Baringoldz, PH.D.

  • Cognitive & Behavioral Psychologist
  • Long Beach, CA
National Provider Identifier
1346220589
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Practice address
3605 Long Beach Blvd
Suite 329
Long Beach, CA 90807-4013
Phone
(888) 486-2148
Fax
(888) 486-2148
NPI assigned
Jan 21, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X Primary

Addresses

Primary practice location

3605 Long Beach Blvd
Suite 329
Long Beach, CA 90807-4013

Mailing address

3605 Long Beach Blvd
Suite 329
Long Beach, CA 90807-4013
Phone (888) 486-2148

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000177 CA Practitioner - Clinical Psychologist 7517047384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3605 Long Beach Blvd
Suite 329
Long Beach, CA 90807-4025
Phone (562) 427-7075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg M. Baringoldz, PH.D., Inc. CurrentSince Jan 1, 2007 Accepting new patients
Teri M. Pokrajac, Psy.D. and Associate, a Clinical Psychology Corporat Past Accepting new patients

Locations

3605 Long Beach Blvd
Ste 329
Long Beach, CA 90807
Phone (562) 427-7075

1001 Dove St
Ste 110
Newport Beach, CA 92660
Phone (949) 475-0145

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1346220589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD",
            "address_2": "SUITE 329",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074013",
            "telephone_number": "888-486-2148",
            "fax_number": "888-486-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD",
            "address_2": "SUITE 329",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074013",
            "telephone_number": "888-486-2148",
            "fax_number": "888-486-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARINGOLDZ",
        "first_name": "GREGG",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.