Active NPI
Gregory Seth Alter, PH.D.
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1528168366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7422
- Practice address
- 5666 Telegraph Ave
Oakland, CA 94609-1708 - Phone
- (510) 545-6463
- Fax
- (510) 217-3588
- NPI assigned
- Sep 22, 2006
- Reactivated
- Aug 8, 2022
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY7422 | CA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSY7422 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSY7422 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY7422 | CA | |
| Clinical Psychologist | 103TC0700X | PSY7422 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY7422 | CA | |
| Forensic Psychologist | 103TF0200X | PSY7422 | CA | |
| Health Service Psychologist | 103TH0100X | PSY7422 | CA | |
| Psychologist | 103T00000X | PSY7422 | CA | |
| School Psychologist | 103TS0200X | PSY7422 | CA | |
| Marriage & Family Therapist | 106H00000X | PSY7422 | CA |
Addresses
Primary practice location
5666 Telegraph Ave
Oakland, CA 94609-1708
Mailing address
3048 Richmond Blvd
Oakland, CA 94611-5847
Phone (510) 545-6463
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3093 Broadway
Unit PH76
Oakland, CA 94611-5779
3093 Broadway
Unit PH76
Oakland, CA 94611-5965
Phone (510) 734-0885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7422 | CA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Alter Group | Psychologist | Current | Accepting new patients |
Locations
1206 3rd St
Ste 2
San Rafael, CA 94901
Phone (510) 734-0885
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.
-
- Psychologist
- Oakland, CA
- NPI 1578292082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1528168366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 RICHMOND BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115847",
"telephone_number": "510-545-6463",
"fax_number": "510-217-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5666 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091708",
"telephone_number": "510-545-6463",
"fax_number": "510-217-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTER",
"first_name": "GREGORY",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"deactivation_date": "2022-06-28",
"reactivation_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7422",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "PSY7422",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "PSY7422",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.