Amy Irene Gregg, PH.D., M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 26881 Issued in CA

Practice address

5905 Soquel Dr
Ste 500
Soquel, CA 95073-2855

Phone

(831) 655-4030

NPI assigned

Jul 11, 2007

Last updated

Mar 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amy Irene Doerring Former name

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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.

• Family Service Agency of the Central Coast

  • Mental Health Counselor
  • Santa Cruz, CA
  • NPI 1104994136
  Medicare reassignment

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1578762407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BENITO AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622153",
            "telephone_number": "831-655-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 SOQUEL DR",
            "address_2": "STE 500",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732855",
            "telephone_number": "831-655-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "AMY",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 26881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DOERRING",
            "middle_name": "IRENE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyriea Giegerich
• Maria Mercedes Giron-Cerna
• Mary Heather Gomez, AU.D.
• Judy Gonzalez, LCSW
• Monica Gonzalez
• Mark Hopper Grennell
• Juno Groves, LMFT
• Cheryce Gutzmer, LCSW
• Greg Hajcak, PHD
• Lane Ashton Harbertson, DDS

• Clinical Psychologist in Soquel, CA
• Providers in Soquel, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.

Verify at the official NPI Registry.