Active NPI
Kathleen Frances Garrova, PSY.D.MSN,MA,RN
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1730234196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 20086
- Practice address
- 9968 Hibert St
Suite 101
San Diego, CA 92131-1035 - Phone
- (858) 213-5774
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- 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 20086 | CA | Primary |
Addresses
Primary practice location
9968 Hibert St
Suite 101
San Diego, CA 92131-1035
Mailing address
10296 Rue Chamonix
San Diego, CA 92131-2612
Phone (858) 213-5774
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)
- Enrolled
- Credentials
- Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 20086 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annette Conway Psychology, PC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Solana Beach, CA
- NPI 1083959092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730234196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10296 RUE CHAMONIX",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921312612",
"telephone_number": "858-213-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9968 HIBERT ST",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311035",
"telephone_number": "858-213-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARROVA",
"first_name": "KATHLEEN",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "PSY.D.MSN,MA,RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 20086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.