Active NPI
Gordon Leroy Ulrey, PH.D.
- Clinical Psychologist
- Davis, CA
National Provider Identifier
1700033040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7924
- Practice address
- 433 F Street
Davis, CA 95616 - Phone
- (530) 756-0276
- Fax
- (530) 758-1658
- NPI assigned
- Aug 19, 2008
- 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 | PSY7924 | CA | Primary |
Addresses
Primary practice location
433 F Street
Davis, CA 95616
Mailing address
433 F Street
Davis, CA 95616
Phone (530) 756-0276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY7924 | Other | CA | STATE OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7924 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1700033040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 F STREET",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-756-0276",
"fax_number": "530-758-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 F STREET",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-756-0276",
"fax_number": "530-758-1658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULREY",
"first_name": "GORDON",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA",
"identifier": "PSY7924",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
- UC Davis Student Health and Counseling Services
- UC Davis Student Health and Counseling Services
- Ucdavis Medical Center
- UCLA Semel Institute
- Johanna Ines Ugaz Gavidia
- Robert Wood Underhill Jr., MFT
- University Retirement Community at Davis, Inc
- Johanna Utter, L.AC.
- Vahid Farahyar, DDS, Inc.
- Aaliyah Marie Valdez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.