NATASHA NOEL KRUGER PH.D.
NPI 1770731994
Psychologist in San Carlos, CA

Active since August 29, 2008PECOS Enrolled
335 QUARRY RD, SAN CARLOS, CA 94070(650) 591-3636 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Natasha Noel Kruger Ph.d. NPPES

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

NATASHA NOEL KRUGER PH.D. (NPI 1770731994) is an individual psychologist in San Carlos, California, licensed in California (RPS 2012214) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770731994
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameNATASHA NOEL KRUGERCredential: PH.D.
Location Address335 QUARRY RDSan Carlos, CA 94070-6217
Mailing Address335 Quarry RdSan Carlos, CA 94070-6217 · (650) 591-3636
Sole ProprietorNo
Enumeration DateAugust 29, 2008
Last NPPES UpdateApril 29, 2013
NPI 1770731994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · RPS 2012214
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

335 QUARRY RD, San Carlos, CA 94070

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Natasha Noel Kruger Ph.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 17, 2018 through February 17, 2026.

Opt-Out Effective DateFebruary 17, 2018
Opt-Out In Effect ThroughFebruary 17, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

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

Counselor (Addiction (Substance Use Disorder))
335 QUARRY RD
SAN CARLOS, CA 94070
Counselor (Addiction (Substance Use Disorder))
335 QUARRY RD
SAN CARLOS, CA 94070
Counselor (Addiction (Substance Use Disorder))
335 QUARRY RD
SAN CARLOS, CA 94070
Counselor (Mental Health)
335 QUARRY RD
SAN CARLOS, CA 94070
Student in an Organized Health Care Education/Training Program
335 QUARRY RD
SAN CARLOS, CA 94070
Counselor (Mental Health)
335 QUARRY RD
SAN CARLOS, CA 94070
Marriage & Family Therapist
335 QUARRY RD
SAN CARLOS, CA 94070
Counselor
335 QUARRY RD
SAN CARLOS, CA 94070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770731994, enumerated as an "individual" on August 29, 2008.

The provider is located at 335 QUARRY RD SAN CARLOS, CA 94070 and the phone number is (650) 591-3636.

Psychologist with taxonomy code 103T00000X.