DR. RORY TOLENTINO PETTIGREW PSY.D.
NPI 1336751072
Psychologist - Clinical in Burlingame, CA

Q: What is Rory Tolentino Pettigrew's NPI number?

The NPI number for Rory Tolentino Pettigrew is 1336751072. It was assigned to this individual provider in the NPPES registry on August 22, 2020. The provider is also known as Rory Tolentino Pettigrew Psy.D..

Q: What is Rory Tolentino Pettigrew's specialty?

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

Q: Is Rory Tolentino Pettigrew enrolled in Medicare?

No. Rory Tolentino Pettigrew has opted out of Medicare through February 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since August 22, 2020Opted out of Medicare · through Feb 22, 2028

877 MAHLER RD STE 160, BURLINGAME, CA 94010(650) 822-1057 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2025, Sep 29, 2020, Aug 22, 2020 (3 updates tracked since 2020).

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About Dr. Rory Tolentino Pettigrew Psy.d. NPPES

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

DR. RORY TOLENTINO PETTIGREW PSY.D. (NPI 1336751072) is an individual clinical provider in Burlingame, California, licensed in California (PSY35642) and active in the NPI registry since August 2020. He has opted out of Medicare through February 22, 2028.

NPPES Registry Identity

NPI1336751072

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RORY TOLENTINO PETTIGREWCredential: PSY.D.

Location Address877 MAHLER RD STE 160Burlingame, CA 94010-1640

Mailing Address700 El Camino Real Ste 120Menlo Park, CA 94025-4884

Phone(650) 822-1057

Sole ProprietorNo

Enumeration DateAugust 22, 2020

Last NPPES UpdateMay 24, 20253 updates tracked since enumeration

NPPES CertifiedMay 24, 2025

✔ NPI 1336751072 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 · PSY35642

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.

877 MAHLER RD STE 160, Burlingame, CA 94010

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Other Names 1

Other Name (5)Rory Tolentino Pettigrew Psy.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Rory Tolentino Pettigrew Psy.d. 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 February 22, 2026 through February 22, 2028.

Opt-Out Effective DateFebruary 22, 2026

Opt-Out In Effect ThroughFebruary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM CHAN PSY.D.

Psychologist (Clinical)

877 MAHLER RD STE 160
BURLINGAME, CA 94010

San Mateo County (650) 822-1057

BANYAN PSYCHOLOGY INC.

Psychologist (Clinical)

877 MAHLER RD STE 160
BURLINGAME, CA 94010

San Mateo County (650) 822-1057

YATONG JI

Student in an Organized Health Care Education/Training Program

877 MAHLER RD STE 160
BURLINGAME, CA 94010

San Mateo County (650) 822-1095

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 Rory Tolentino Pettigrew's NPI number?

The NPI number for Rory Tolentino Pettigrew is 1336751072. It was assigned to this individual provider in the NPPES registry on August 22, 2020. The provider is also known as Rory Tolentino Pettigrew Psy.D..

Where is Rory Tolentino Pettigrew located?

Rory Tolentino Pettigrew practices at 877 Mahler Rd Ste 160, Burlingame, CA 94010. The listed phone number is (650) 822-1057.

What is Rory Tolentino Pettigrew's specialty?

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

Is Rory Tolentino Pettigrew enrolled in Medicare?

No. Rory Tolentino Pettigrew has opted out of Medicare through February 22, 2028. 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 Rory Tolentino Pettigrew was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.