Active NPI
Seda Gragossian, PHD
- Addiction (Substance Use Disorder) Psychologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 24901
- Practice address
- 5935 Cornerstone CT W
Suite 125
San Diego, CA 92121-3737 - Phone
- (858) 205-2490
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 24901 | CA | Primary |
Addresses
Primary practice location
5935 Cornerstone CT W
Suite 125
San Diego, CA 92121-3737
Mailing address
5935 Cornerstone CT W
Suite 125
San Diego, CA 92121-3737
Phone (858) 205-2490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9262 Rialto LN
Naples, FL 34119-2018
Phone (858) 205-2490
9920 Pacific Heights Blvd
Suite 150
San Diego, CA 92121-4361
Phone (858) 205-2490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talk Therapy Psychology Center, Corp. | Current | Accepting new patients |
Locations
9920 Pacific Heights Blvd
Ste 150
San Diego, CA 92121
Phone (855) 559-7433
5935 Cornerstone Ct W
Ste 125
San Diego, CA 92121
Phone (858) 205-2490
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": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1548460835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5935 CORNERSTONE CT W",
"address_2": "SUITE 125",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213737",
"telephone_number": "858-205-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5935 CORNERSTONE CT W",
"address_2": "SUITE 125",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213737",
"telephone_number": "858-205-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAGOSSIAN",
"first_name": "SEDA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "24901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.