Individual provider Active NPI

Robert Ryan Lucas Gunton, PHD

  • Clinical Psychologist
  • Citrus Heights, CA
National Provider Identifier
1871742718
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26327 Issued in CA
Practice address
8421 Auburn Blvd Ste 110
Citrus Heights, CA 95610-0392
Phone
(916) 531-8359
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY26327 CA Primary

Addresses

Primary practice location

8421 Auburn Blvd Ste 110
Citrus Heights, CA 95610-0392

Mailing address

8421 Auburn Blvd Ste 110
Citrus Heights, CA 95610-0392
Phone (916) 531-8359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206000369 CA Practitioner - Clinical Psychologist 8325375892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY26327CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumen Health and Psychological Services Inc. Clinical CurrentSince Oct 16, 2015 Accepting new patients

Locations

8421 Auburn Blvd
Ste 110
Citrus Heights, CA 95610
Phone (800) 464-4709

3508 Cody Way
Ste 100H
Sacramento, CA 95864
Phone (916) 531-8359

1375 Gray Ave
Yuba City, CA 95991
Phone (916) 531-8359

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.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1871742718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 AUBURN BLVD STE 110",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100392",
            "telephone_number": "916-531-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 AUBURN BLVD STE 110",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100392",
            "telephone_number": "916-531-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTON",
        "first_name": "ROBERT",
        "middle_name": "RYAN LUCAS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.