Active NPI
Natasha Noel Kruger, PH.D.
- Psychologist
- San Carlos, CA
National Provider Identifier
1770731994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- RPS 2012214
- Practice address
- 335 Quarry Rd
San Carlos, CA 94070-6217 - Phone
- (650) 591-3636
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | RPS 2012214 | CA | Primary |
Addresses
Primary practice location
335 Quarry Rd
San Carlos, CA 94070-6217
Mailing address
335 Quarry Rd
San Carlos, CA 94070-6217
Phone (650) 591-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 17, 2018 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPS 2012214 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1770731994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 QUARRY RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940706217",
"telephone_number": "650-591-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 QUARRY RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940706217",
"telephone_number": "650-591-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "NATASHA",
"middle_name": "NOEL",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "RPS 2012214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.