Organization Active NPI

Gordon W Caras PH D a Professional Psychological Corporation

  • Psychologist
  • Carlsbad, CA
National Provider Identifier
1497886394
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GORDON W CARAS PH D A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
1907 Estrella de Mar CT Unit D
Carlsbad, CA 92009-6125
Phone
(858) 208-3589
NPI assigned
Mar 9, 2007
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Dr. Gordon Caras, PH.D.NPI 1578946646
Title
Owner
Phone
(858) 208-3589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1907 Estrella de Mar CT Unit D
Carlsbad, CA 92009-6125

Mailing address

1907 Estrella de Mar CT Unit D
Carlsbad, CA 92009-6125
Phone (858) 208-3589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230116000394 CA Part B Supplier - Clinic/Group Practice 7517338395 Receives reassigned benefits from 1 practitioner
Practice locations: Solana Beach, CA

National Provider Directory

National Provider Directory

Locations

312 S Cedros Ave
Ste 308
Solana Beach, CA 92075

990 Highland Dr
Ste 212K
Solana Beach, CA 92075
Phone (858) 208-8539

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1497886394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 ESTRELLA DE MAR CT UNIT D",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096125",
            "telephone_number": "858-208-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 ESTRELLA DE MAR CT UNIT D",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096125",
            "telephone_number": "858-208-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON W CARAS PH D A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CARAS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-208-3589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.