Individual provider Active NPI

Gregory Seth Alter, PH.D.

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1528168366
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7422 Issued in CA
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

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514001270 CA Practitioner - Clinical Psychologist 7719977396 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PSY7422CAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Alter Group Psychologist CurrentSince Jun 28, 2022 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.

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

Verify at the official NPI Registry.