Dr Gregory Elisha Bottum, PSYD in Orangevale, CA - Psychologist

Dr Gregory Elisha Bottum, PSYD is a Psychologist - Clinical based in Orangevale, California. Dr Gregory Elisha Bottum is licensed to practice in California (license number PSY 6405) and his current practice location is 9264 Madison Ave, Orangevale, California. He can be reached at his office (for appointments etc.) via phone at (916) 797-0695.

NPI number for Dr Gregory Elisha Bottum is 1639101736 and his current mailing address is Po Box 2803, Granite Bay, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639101736.

Contact Information

	Dr Gregory Elisha Bottum, PSYD
	9264 Madison Ave, Orangevale, CA 95662-5858
	(916) 797-0695
	Not Available

Healthcare Provider's Profile

Full Name	Dr Gregory Elisha Bottum
Gender	Male
Speciality	Psychologist - Clinical
Location	9264 Madison Ave, Orangevale, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1639101736
Provider Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Gregory Elisha Bottum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639101736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 6405 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregory Elisha Bottum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gregory Elisha Bottum, PSYD Po Box 2803, Granite Bay, CA 95746-2803 Ph: (916) 797-0695	Dr Gregory Elisha Bottum, PSYD 9264 Madison Ave, Orangevale, CA 95662-5858 Ph: (916) 797-0695

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Psychologist in Orangevale, CA

Dr. Ernest Jarman Iii, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9267 Greenback Ln, #b98, Orangevale, CA 95662 Phone: 916-397-1992
Dr. Karen E. Kelly, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9267 Greenback Ln, Suite B-98, Orangevale, CA 95662 Phone: 916-983-6898
Cyrus A Moazam, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9267 Greenback Ln, B-98, Orangevale, CA 95662 Phone: 916-505-9151 Fax: 916-988-7864
Theron H. Kinsey, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9268 Madison Ave, Orangevale, CA 95662 Phone: 916-988-1100 Fax: 916-988-3995
Dr. Joan Druckman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9264 Madison Ave, Orangevale, CA 95662 Phone: 916-988-2824

Dr Gregory Elisha Bottum, PSYD - Psychologist in Orangevale, CA