Individual provider Active NPI

Gordon Caras, PH.D.

  • Psychologist
  • Carlsbad, CA
National Provider Identifier
1578946646
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14962 Issued in CA
Practice address
1907 Estrella de Mar CT Unit D
Carlsbad, CA 92009-6125
Phone
(858) 208-8539
NPI assigned
Jul 7, 2015
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14962 CA Primary

Addresses

Primary practice location

1907 Estrella de Mar CT Unit D
Carlsbad, CA 92009-6125

Mailing address

1907 Estrella de Mar CT Unit D
Carlsbad, CA 92009-6125
Phone (858) 208-8539

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
I20230116000426 CA Practitioner - Clinical Psychologist 1153792932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

990 Highland Dr
Suite 212K
Solana Beach, CA 92075-3404
Phone (858) 208-8539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY14962CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon W Caras PH D a Professional Psychological Corporation Psychologist CurrentSince Jan 1, 2023 Accepting new patients

Locations

312 S Cedros Ave
Ste 308
Solana Beach, CA 92075

990 Highland Dr
Ste 212K
Solana Beach, CA 92075
Phone (858) 208-8539

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, 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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1578946646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 ESTRELLA DE MAR CT UNIT D",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096125",
            "telephone_number": "858-208-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 ESTRELLA DE MAR CT UNIT D",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096125",
            "telephone_number": "858-208-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAS",
        "first_name": "GORDON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.