Active NPI
David Ross Atkinson, PHD
- Clinical Neuropsychologist
- San Luis Obispo, CA
National Provider Identifier
1417086554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY6801
- Practice address
- 1428 Phillips LN
Suite 300
San Luis Obispo, CA 93401-2537 - Phone
- (805) 545-5720
- Fax
- (805) 545-5727
- NPI assigned
- Mar 5, 2007
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY6801 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY6801 | CA |
Addresses
Primary practice location
1428 Phillips LN
Suite 300
San Luis Obispo, CA 93401-2537
Mailing address
377 Albert Dr
San Luis Obispo, CA 93405-1926
Phone (805) 545-0750
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY6801 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417086554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 ALBERT DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051926",
"telephone_number": "805-545-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 PHILLIPS LN",
"address_2": "SUITE 300",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012537",
"telephone_number": "805-545-5720",
"fax_number": "805-545-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "DAVID",
"middle_name": "ROSS",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY6801",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY6801",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
- Associated Anesthesiologists of the Central Coast (Coastal Anesthesiology Medical Associates)
- Associated Surgeons of San Luis Obispo
- Cecelia Atchison
- Danielle Sophia Atencio, LCSW
- Ann Kathleen Atkinson, PHD
- Atsuko E. Rees, MD (Rees Family Medical)
- Angela Diane Atwell, R.N.
- Peggy Jo Atwill, MFT
- Grace Noelle Auge
- Michelle Auran, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.