DAVID SCOTT TERRY PH.D PSYCH ASSISTANT
NPI 1902004534
Student in an Organized Health Care Education/Training Program in San Jose, CA
About David Scott Terry Ph.d Psych Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID SCOTT TERRY PH.D PSYCH ASSISTANT (NPI 1902004534) is an individual student in an organized health care education/training program in San Jose, California, licensed in California (PSB31758) and active in the NPI registry since July 2007. He has opted out of Medicare through October 1, 2028.
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
David Scott Terry Ph.d Psych Assistant 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 October 1, 2026 through October 1, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95123
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 David Terry's NPI number?
The NPI number for David Terry is 1902004534. It was assigned to this individual provider in the NPPES registry on July 5, 2007.
Where is David Terry located?
David Terry practices at 5755 Cottle Rd Building #4, San Jose, CA 95123. The listed phone number is (408) 972-3095.
What is David Terry's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is David Terry enrolled in Medicare?
No. David Terry has opted out of Medicare through October 1, 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 David Terry was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# David Scott Terry, PH.D PSYCH ASSISTANT · NPI 1902004534
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since July 5, 2007.
## Identity
- **NPI:** 1902004534 (Entity type: Individual)
- **Enumerated:** July 5, 2007
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** PSB31758 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5755 COTTLE RD, BUILDING #4, San Jose, CA 95123-3640
- **Phone:** (408) 972-3095
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902004534) · Data from the CMS NPPES public registry.