Individual provider Active NPI

Steven C Schoger, PSY.D.

  • Clinical Psychologist
  • Los Alamitos, CA
National Provider Identifier
1598980252
Registry record updated Nov 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3126 Issued in OR
Practice address
4132 Katella Ave Ste 104
Los Alamitos, CA 90720-3493
Phone
(541) 500-8655
Fax
(800) 433-1396
NPI assigned
Apr 16, 2007
Last updated
Nov 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3126 OR Primary
Marriage & Family Therapist 106H00000X MFC35972 CA

Addresses

Primary practice location

4132 Katella Ave Ste 104
Los Alamitos, CA 90720-3493

Mailing address

PO Box 4752
Medford, OR 97501-0197
Phone (541) 500-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200107003433 OR Practitioner - Clinical Psychologist 3577995927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 Crater Lake Ave
Suite M
Medford, OR 97504-6213
Phone (541) 499-6908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3126ORMDClinical Psychologist
MFC35972CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling Group Marriage & Family Therapist CurrentSince Feb 9, 2024 Accepting new patients
Steven C Schoger Psy D LLC Clinical CurrentSince Oct 1, 2019 Accepting new patients
Grace Counseling Group PastSince Oct 6, 2019 Accepting new patients

Locations

4132 Katella Ave
Ste 104
Los Alamitos, CA 90720
Phone (562) 234-4194

10 Crater Lake Ave
Ste 21
Medford, OR 97504
Phone (541) 499-6908

1150 Crater Lake Ave
Ste M
Medford, OR 97504

Organizations & group practices 3

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1598980252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4752",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010197",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203493",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOGER",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3126",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.