MEDICARE: KATHRYN MARIE PEDGRIFT PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	103TC0700X	Clinical Psychologist	24991	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578609822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MARIE PEDGRIFT PSY.D.

Provider Business Mailing Address
First Line	:	3780 FIFTH AVE APT 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-4238
Country	:	US
Telephone Number	:	415-710-4187
Fax Number	:

Provider Business Practice Location Address
First Line	:	10065 OLD GROVE RD STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-1664
Country	:	US
Telephone Number	:	858-444-8823
Fax Number	:	858-444-8827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	06/05/2012

Similar Medicare Providers

1407782345 — VALERIE RAQUEL CONSUNJI CHANTHALUXAY
Practice Location Address:

10065 OLD GROVE RD STE 102
SAN DIEGO, CA
92131-1664

Practice Phone: 858-290-6122
Practice Fax: 855-568-2494

1891627121 — SONIA LOPEZ
Practice Location Address:

10065 OLD GROVE RD STE 102
SAN DIEGO, CA
92131-1664

Practice Phone: 858-290-6122
Practice Fax: 855-568-2494

1104819119 — DR. ALAN LINCOLN PH.D.
Practice Location Address:

10065 OLD GROVE RD. , SUITE 200
SAN DIEGO, CA
92131-1664

Practice Phone: 858-444-8823
Practice Fax: 858-444-8827

1881704872 — NOVATA BEHAVIORAL HEALTH
Practice Location Address:

10065 OLD GROVE RD. , SUITE #200
SAN DIEGO, CA
92131-1664

Practice Phone: 858-444-8823
Practice Fax: 858-444-8827

1275696445 — MS. ROBIN ELIZABETH HODGES PH.D
Practice Location Address:

10065 OLD GROVE RD , SUITE 200
SAN DIEGO, CA
92131-1664

Practice Phone: 858-444-8823
Practice Fax:

1043330467 — DR. MARCHITA RENE MASTERS PSY.D.
Practice Location Address:

10065 OLD GROVE RD , SUITE 102
SAN DIEGO, CA
92131-1664

Practice Phone: 619-384-0909
Practice Fax:

Directions to “ KATHRYN MARIE PEDGRIFT PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.