Active NPI
Gregory Rembert Thigpen, PSYD
- Clinical Child & Adolescent Psychologist
- Santa Rosa, CA
National Provider Identifier
1841343811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY19198
- Practice address
- 920 Mendocino Ave
Santa Rosa, CA 95401-4813 - Phone
- (707) 494-6462
- Fax
- (707) 539-3588
- NPI assigned
- Jan 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY19198 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY19198 | CA | Primary |
Addresses
Primary practice location
920 Mendocino Ave
Santa Rosa, CA 95401-4813
Mailing address
PO Box 2996
Santa Rosa, CA 95405-0996
Phone (707) 494-6462
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PL191980 | Other | CA | BLUE SHIELD |
| PSY191980 | Medicaid | CA | |
| 355188 | Other | CA | MANAGED HEALTH NETWORK |
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 Jan 1, 2020 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19198 | CA | MD | Clinical Child & Adolescent Psychologist |
| 19198 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1841343811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2996",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954050996",
"telephone_number": "707-494-6462",
"fax_number": "707-539-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MENDOCINO AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014813",
"telephone_number": "707-494-6462",
"fax_number": "707-539-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIGPEN",
"first_name": "GREGORY",
"middle_name": "REMBERT",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY19198",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY19198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0PL191980",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY191980",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "355188",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.