Individual provider Active NPI

Josh Gressel, PH.D.

  • Psychologist
  • Pleasant Hill, CA
National Provider Identifier
1811969876
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY16252 Issued in CA
Practice address
399 Taylor Blvd.
Ste. 210
Pleasant Hill, CA 94523-2287
Phone
(925) 685-9463
Fax
(925) 968-9682
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY16252 CA Primary

Addresses

Primary practice location

399 Taylor Blvd.
Ste. 210
Pleasant Hill, CA 94523-2287

Mailing address

399 Taylor Blvd.
Ste. 210
Pleasant Hill, CA 94523-2287
Phone (925) 685-9463

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY16252CAMDPsychologist
16252CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Roots Psychotherapy Past Accepting new patients
Encore Clinical Consultation PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1811969876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 TAYLOR BLVD.",
            "address_2": "STE. 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232287",
            "telephone_number": "925-685-9463",
            "fax_number": "925-968-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 TAYLOR BLVD.",
            "address_2": "STE. 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232287",
            "telephone_number": "925-685-9463",
            "fax_number": "925-968-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESSEL",
        "first_name": "JOSH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.