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Contact Information

GREGORY M SIMS, PHD
18025 BLATTNER ROAD
PHILO, CA95466
 Phone: 707-895-2304
 Fax: 707-895-2537
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GREGORY M SIMS · (Male)

NPI Number 1114067618
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/07/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CA License # CA LIC NO PSY4045
  • CA License # PSY4045
  • CA Medicaid 00PL40451
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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