Gregory Ernest Koch in San Diego - Cognitive & Behavioral
Gregory Ernest Koch - NPI 1730180852
Gregory Ernest Koch is a Cognitive & Behavioral in San Diego, California. Gregory Ernest Koch practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Gregory Ernest Koch is 1730180852. The last update date is 2007-07-08.
Gregory Ernest Koch's current location address is 4081 Stephens St, San Diego, California. You can contact this provider via phone number 8885887836 and fax number 8885887836. The mailing address for Gregory Ernest Koch is 4081 Stephens St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Ernest Koch |
|---|---|
| Address | 4081 Stephens St, San Diego, California |
| Phone Number | 8885887836 |
| Fax Number | 8885887836 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1730180852 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4081 Stephens St |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921031242 |
| Phone Number | 8885887836 |
| Fax Number | 8885887836 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | PSY19917 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0PL199170 | CA | BLUE SHIELD | |
| 11397904 | CA | CAQH | |
| PSY199170 | CA | -- | |
| 5551998 | CA | FIRSTHEALTH/CCN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gregory Ernest Koch by the Centers for Medicare & Medicaid Services?
The Gregory Ernest Koch has been assigned the NPI (National Provider Identifier) 1730180852 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Gregory Ernest Koch's physical address?
The Gregory Ernest Koch is physically located at 4081 Stephens St, in the city of San Diego, CA, with the postal code 921031242.
What is the Gregory Ernest Koch's area of specialization and corresponding taxonomy classification?
The Gregory Ernest Koch's specialty field is Cognitive & Behavioral, and it falls under the taxonomy code 103Tb0200X, which categorizes healthcare providers based on their specialties.
When did Gregory Ernest Koch receive its 1730180852 assignment?
The Gregory Ernest Koch was assigned its 1730180852 on 2005-08-10, which is the date when this unique identifier was issued to the organization.
When was the Gregory Ernest Koch's information last updated?
The Gregory Ernest Koch's information was last updated on 2007-07-08.