| Devin Edward Prouty, PHD | |
|
845 El Camino Real, Menlo Park, CA 94025-4807 | |
| (650) 762-8352 | |
| Not Available |
| Full Name | Devin Edward Prouty |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 15 Years |
| Location | 845 El Camino Real, Menlo Park, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285948950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY2597 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10928 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Edward Prouty, PHD 333 Ravenswood Ave, Menlo Park, CA 94025-3453 Ph: Not Available | Devin Edward Prouty, PHD 845 El Camino Real, Menlo Park, CA 94025-4807 Ph: (650) 762-8352 |
Dr. Timothy J Avery, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, Menlo Park, CA 94025 Phone: 650-493-5000 |
Dr. Christina Ka-yi Lam, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 El Camino Real Ste 120, Menlo Park, CA 94025 Phone: 650-249-3020 |
Dr. Anne Cooper, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Middlefield Rd Ste 100, Menlo Park, CA 94025 Phone: 650-339-3306 |
Dr. Edna Marie Esnil, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 885 Oak Grove Ave Ste 210, Menlo Park, CA 94025 Phone: 650-255-2679 |
Elisabeth Renee Cordell, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd Bldg 347, Menlo Park, CA 94025 Phone: 650-493-5000 |
Dr. Maryam Tajiki, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 830 Menlo Ave, Ste 200, Menlo Park, CA 94025 Phone: 650-322-8646 |
Dr. Jacqueline D.s. Jackson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Menlo Ave, #209, Menlo Park, CA 94025 Phone: 650-321-5206 |