Active NPI
Paul Krebs, PHD
- Psychologist
- San Diego, CA
National Provider Identifier
1982907424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY32156
- Practice address
- 3604 4TH Ave Ste 5
San Diego, CA 92103-4118 - Phone
- (646) 820-7477
- NPI assigned
- Dec 6, 2010
- 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 | 018694 | NY | |
| Psychologist | 103T00000X | PSY32156 | CA | Primary |
Addresses
Primary practice location
3604 4TH Ave Ste 5
San Diego, CA 92103-4118
Mailing address
2017 Lapeyrouse St
New Orleans, LA 70116-1742
Phone (646) 820-7477
Other practice location 1
444 W 35th St Apt 12A
New York, NY 10001-1553
Phone (646) 820-7477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
226 W 26TH St
Suite 4
New York, NY 10001-6700
Phone (646) 820-7477
3604 4TH Ave
Suite 5
San Diego, CA 92103-4118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY32156 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Krebs Psychologist, Apc | Psychologist | Current | Accepting new patients |
Locations
3604 4th Ave
Ste 5
San Diego, CA 92103
Phone (619) 356-0811
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": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1982907424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 LAPEYROUSE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701161742",
"telephone_number": "646-820-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 4TH AVE STE 5",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034118",
"telephone_number": "646-820-7477"
}
],
"practiceLocations": [
{
"address_1": "444 W 35th St Apt 12A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100011553",
"country_code": "US",
"telephone_number": "646-820-7477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREBS",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-06",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018694",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY32156",
"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 May 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.