| One Door Psychology, Inc | |
|
680 Lighthouse Ave Unit 51355 Pacific Grove CA 93950-8071 | |
| (831) 402-3838 | |
| (831) 747-1095 |
| Full Name | One Door Psychology, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 680 Lighthouse Ave Unit 51355, Pacific Grove, California |
| Authorized Official Name and Position | Robert Swanson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8314023838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Door Psychology, Inc 680 Lighthouse Ave Unit 51355 Pacific Grove CA 93950-8071 Ph: (831) 402-3838 | One Door Psychology, Inc 680 Lighthouse Ave Unit 51355 Pacific Grove CA 93950-8071 Ph: (831) 402-3838 |
| NPI Number | 1114454238 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 10/22/2025 |
| Certification Date | 10/22/2025 |
| Medicare PECOS PAC ID | 0143595439 |
|---|---|
| Medicare Enrollment ID | O20171012002520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114454238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | CA27001 (California) | Primary |
| Provider Name | Robert Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184794877 PECOS PAC ID: 8224317557 Enrollment ID: I20161109001769 |
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