| Gregg M. Baringoldz, Ph.d., Inc. | |
|
3605 Long Beach Blvd Suite 329 Long Beach CA 90807-4013 | |
| (888) 486-2148 | |
| (888) 486-2148 |
| Full Name | Gregg M. Baringoldz, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3605 Long Beach Blvd, Long Beach, California |
| Authorized Official Name and Position | Gregg Michael Baringoldz (PSYCHOLOGIST) |
| Authorized Official Contact | 8884862148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg M. Baringoldz, Ph.d., Inc. 3605 Long Beach Blvd Suite 329 Long Beach CA 90807-4013 Ph: (888) 486-2148 | Gregg M. Baringoldz, Ph.d., Inc. 3605 Long Beach Blvd Suite 329 Long Beach CA 90807-4013 Ph: (888) 486-2148 |
| NPI Number | 1851575534 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Medicare PECOS PAC ID | 6507946373 |
|---|---|
| Medicare Enrollment ID | O20080107000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851575534 | NPI | - | NPPES |
| PSY119710 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gregg M Baringoldz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346220589 PECOS PAC ID: 7517047384 Enrollment ID: I20080107000177 |
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