ONE DOOR PSYCHOLOGY, INC
NPI 1114454238
Psychologist - Clinical in Pacific Grove, CA

Active since May 19, 2017
680 LIGHTHOUSE AVE UNIT 51355, PACIFIC GROVE, CA 93950(831) 402-3838(831) 747-1095 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, May 19, 2017 (2 updates tracked since 2017).

About One Door Psychology, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ONE DOOR PSYCHOLOGY, INC (NPI 1114454238) is a healthcare organization registered as a clinical in Pacific Grove, California and active in the NPI registry since May 2017. The organization lists Robert Swanson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1114454238
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameONE DOOR PSYCHOLOGY, INC
Location Address680 LIGHTHOUSE AVE UNIT 51355Pacific Grove, CA 93950-8071
Mailing Address680 Lighthouse Ave Unit 51355Pacific Grove, CA 93950-8071 · (831) 402-3838 · Fax (831) 747-1095
Fax(831) 747-1095
Organization SubpartNo
Authorized OfficialRobert SwansonClinical Psychologist · (831) 402-3838
Enumeration DateMay 19, 2017
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1114454238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · CA27001
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
680 LIGHTHOUSE AVE UNIT 51355, Pacific Grove, CA 93950

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

One Door Psychology, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to One Door Psychology, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1184794877
680 LIGHTHOUSE AVE UNIT 51355
Pacific Grove, CA 93950
(831) 402-3838
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 One Door Psychology, Inc's NPI number?

The NPI number for One Door Psychology, Inc is 1114454238. It was assigned to this organization in the NPPES registry on May 19, 2017.

Where is One Door Psychology, Inc located?

One Door Psychology, Inc is located at 680 Lighthouse Ave Unit 51355, Pacific Grove, CA 93950. The listed phone number is (831) 402-3838.

What is One Door Psychology, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is One Door Psychology, Inc enrolled in Medicare?

Yes. One Door Psychology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through One Door Psychology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to One Door Psychology, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for One Door Psychology, Inc was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.