Active NPI
Arnold Grant Plemons, PH.D.
- Clinical Psychologist
- Scotts Valley, CA
National Provider Identifier
1649343476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 8062
- Practice address
- 75 Mount Hermon Rd
Ste E
Scotts Valley, CA 95066-4780 - Phone
- (831) 588-8643
- Fax
- (831) 704-2909
- NPI assigned
- Nov 17, 2006
- Last updated
- Apr 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 8062 | CA | Primary |
Addresses
Primary practice location
75 Mount Hermon Rd
Ste E
Scotts Valley, CA 95066-4780
Mailing address
PO Box 18
Felton, CA 95018-0018
Phone (408) 871-9006
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120111000202 | CA | Practitioner - Clinical Psychologist | 7719154913 | Practice locations: Scotts Valley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
75 Mount Hermon Rd
Suite E
Scotts Valley, CA 95066-4780
Phone (831) 588-8643
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 8062 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556323200000",
"number": "1649343476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18",
"city": "FELTON",
"state": "CA",
"postal_code": "950180018",
"telephone_number": "408-871-9006",
"fax_number": "408-871-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MOUNT HERMON RD",
"address_2": "STE E",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664780",
"telephone_number": "831-588-8643",
"fax_number": "831-704-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLEMONS",
"first_name": "ARNOLD",
"middle_name": "GRANT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2019-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 8062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.