DR. GREGORY ELISHA BOTTUM PSYD
NPI 1639101736
Psychologist - Clinical in Orangevale, CA

Active since July 07, 2006
9264 MADISON AVE, ORANGEVALE, CA 95662(916) 797-0695 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gregory Elisha Bottum Psyd NPPES

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

DR. GREGORY ELISHA BOTTUM PSYD (NPI 1639101736) is an individual clinical provider in Orangevale, California, licensed in California (PSY 6405) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1639101736
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GREGORY ELISHA BOTTUMCredential: PSYD
Location Address9264 MADISON AVEOrangevale, CA 95662-5858
Mailing AddressPo Box 2803Granite Bay, CA 95746-2803 · (916) 797-0695
Sole ProprietorYes
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639101736 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 · PSY 6405
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.
9264 MADISON AVE, Orangevale, CA 95662

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
9264 MADISON AVE, ROLLINGWOOD OFFICE PARK
ORANGEVALE, CA 95662
Psychologist
9264 MADISON AVE
ORANGEVALE, CA 95662

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 Bottum's NPI number?

The NPI number for Gregory Bottum is 1639101736. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Gregory Bottum located?

Gregory Bottum practices at 9264 Madison Ave, Orangevale, CA 95662. The listed phone number is (916) 797-0695.

What is Gregory Bottum's specialty?

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

When was this NPI record last updated?

The NPPES record for Gregory Bottum was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.