| Gregory Ian Fields, Ph. D. Psychologist, Inc. | |
|
2929 K St Ste 300 Sacramento CA 95816-5122 | |
| (916) 425-3177 | |
| (916) 914-2073 |
| Full Name | Gregory Ian Fields, Ph. D. Psychologist, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2929 K St Ste 300, Sacramento, California |
| Authorized Official Name and Position | Gregory Ian Fields (PRESIDENT) |
| Authorized Official Contact | 9164253177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Ian Fields, Ph. D. Psychologist, Inc. 2929 K St Ste 300 Sacramento CA 95816-5122 Ph: (916) 425-3177 | Gregory Ian Fields, Ph. D. Psychologist, Inc. 2929 K St Ste 300 Sacramento CA 95816-5122 Ph: (916) 425-3177 |
| NPI Number | 1952492530 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 2163424375 |
|---|---|
| Medicare Enrollment ID | O20070131000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952492530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY16113 (California) | Primary |
| Provider Name | Gregory I Fields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902852783 PECOS PAC ID: 6608873393 Enrollment ID: I20061020000438 |
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