Dr. Eric R Pevney, PhD
Psychologist in San Marcos, CA. Individual provider (NPI-1).
NPI number1689920902
StatusActive
Last updated in NPPESJan 29, 2026
Details
- NPI
- 1689920902
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eric R Pevney
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2012
- Certification date
- Jan 29, 2026
- Last updated
- Jan 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · 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 | PSY25065 | CA | Yes |
Practice location
1290 Holmgrove DrSan Marcos, CA 92078-2801
Phone 760-481-5347 · Fax 760-539-9968
Mailing address
1290 Holmgrove DrSan Marcos, CA 92078-2801
Phone 760-481-5347
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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