Individual provider Active NPI

David John Murphy, PHD

  • Psychologist
  • Sebastopol, CA
National Provider Identifier
1376628255
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
15671 Issued in CA
Practice address
874 Gravenstein Ave
Suite 15
Sebastopol, CA 95472-4555
Phone
(707) 566-7026
Fax
(707) 566-7026
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 15671 CA Primary

Addresses

Primary practice location

874 Gravenstein Ave
Suite 15
Sebastopol, CA 95472-4555

Mailing address

874 Gravenstein Ave
Suite 15
Sebastopol, CA 95472-4555
Phone (707) 566-7026

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
I20050420001380 CA Practitioner - Clinical Psychologist 4981642857 Practice locations: Bayside, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1118 Walker Point Rd
Bayside, CA 95524-9052
Phone (707) 566-7026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aretaeus Telemedicine Inc. CurrentSince Jun 1, 2020 Accepting new patients

Locations

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376628255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 GRAVENSTEIN AVE",
            "address_2": "SUITE 15",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724555",
            "telephone_number": "707-566-7026",
            "fax_number": "707-566-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 GRAVENSTEIN AVE",
            "address_2": "SUITE 15",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724555",
            "telephone_number": "707-566-7026",
            "fax_number": "707-566-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "15671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.