Dr. George Koumaras, PhD
Psychologist in San Marcos, CA. Individual provider (NPI-1).
NPI number1154377901
StatusActive
Last updated in NPPESMay 6, 2021
Details
- NPI
- 1154377901
- Entity type
- Individual (NPI-1)
- Name
- Dr. George Koumaras
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Certification date
- May 6, 2021
- Last updated
- May 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
277 Rancheros Dr Ste 301San Marcos, CA 92069-2993
Phone 760-471-4073 · Fax 619-528-4625
Mailing address
Po Box 609001San Diego, CA 92160-9001
Phone 619-528-4600 · Fax 619-528-4625
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Psychologist providers in San Marcos · All 2,436 providers in San Marcos
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