Penelope Guthrie Underwood, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19331 Issued in CA

Practice address

28362 Vincent Moraga Dr Ste D
Temecula, CA 92590-3655

Phone

(951) 395-0972

NPI assigned

Jan 15, 2007

Last updated

Aug 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1346391455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39664 MAPLE LEAF CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635303",
            "telephone_number": "714-679-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28362 VINCENT MORAGA DR STE D",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903655",
            "telephone_number": "951-395-0972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28362 Vincent Moraga Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925903655",
            "country_code": "US",
            "telephone_number": "951-395-0972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29748 Rancho California Rd",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925915286",
            "country_code": "US",
            "telephone_number": "951-694-0695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "PENELOPE",
        "middle_name": "GUTHRIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-08-12",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Drpunderwood@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "I dont understand this section",
            "address_1": "29748 Rancho California Rd",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925915286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychologist in Temecula, CA
• Providers in Temecula, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.