GREGORY KNIGHT TRAVIS PHD
NPI 1033910203
Psychologist - Cognitive & Behavioral in Los Angeles, CA
About Gregory Knight Travis Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY KNIGHT TRAVIS PHD (NPI 1033910203) is an individual cognitive & behavioral provider in Los Angeles, California, licensed in California (PSY12181) and active in the NPI registry since March 2025. He has opted out of Medicare through December 3, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Gregory Knight Travis Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 3, 2025 through December 3, 2027.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gregory Travis's NPI number?
The NPI number for Gregory Travis is 1033910203. It was assigned to this individual provider in the NPPES registry on March 22, 2025.
Where is Gregory Travis located?
Gregory Travis practices at 6310 San Vicente Blvd Ste 410, Los Angeles, CA 90048. The listed phone number is (323) 935-3885.
What is Gregory Travis's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
Is Gregory Travis enrolled in Medicare?
No. Gregory Travis has opted out of Medicare through December 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Gregory Travis was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gregory Knight Travis, PHD · NPI 1033910203
Cognitive & Behavioral provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 22, 2025.
## Identity
- **NPI:** 1033910203 (Entity type: Individual)
- **Enumerated:** March 22, 2025
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **State license:** PSY12181 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6310 SAN VICENTE BLVD STE 410, Los Angeles, CA 90048-5457
- **Phone:** (323) 935-3885
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 3, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033910203) · Data from the CMS NPPES public registry.