Individual provider Active NPI

Greg S. Stanford, PSY.D.

  • Clinical Psychologist
  • Arcadia, CA
National Provider Identifier
1558484204
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26271 Issued in CA
Practice address
150 N Santa Anita Ave Ste 735
Arcadia, CA 91006-3145
Phone
(626) 415-4452
NPI assigned
Apr 9, 2007
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY26271 CA Primary

Addresses

Primary practice location

150 N Santa Anita Ave Ste 735
Arcadia, CA 91006-3145

Mailing address

150 N Santa Anita Ave Ste 735
Arcadia, CA 91006-3145
Phone (626) 415-4452

Other practice location 1

324 E Foothill Blvd
Ste 203
Arcadia, CA 91006-2597
Phone (626) 415-4452

Other practice location 2

435 N Bedford Dr Ste 407
Beverly Hills, CA 90210-4336
Phone (626) 415-4452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY26271CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc Clinical PastSince Apr 14, 2024 Accepting new patients
Comprehensive Doctors Medical Group Inc. PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1558484204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE STE 735",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063145",
            "telephone_number": "626-415-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE STE 735",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063145",
            "telephone_number": "626-415-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 E FOOTHILL BLVD",
            "address_2": "STE 203",
            "address_purpose": "LOCATION",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062597",
            "country_code": "US",
            "telephone_number": "626-415-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 N Bedford Dr Ste 407",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104336",
            "country_code": "US",
            "telephone_number": "626-415-4452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "GREG",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.