DR. GREGORY ERNEST KOCH PSY.D. NPI 1730180852

NPI Information

  • NPI: 1730180852
  • Provider Name: DR. GREGORY ERNEST KOCH, PSY.D.
  • Classification: Psychologist - 103TP2701X
  • Specialization: Group Psychotherapy
  • Entity Type: Individual
  • Address: 4081 STEPHENS ST
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (888) 588-7836

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NPI Details

DR. Gregory Ernest Koch, PSY.D. is a group psychotherapy psychologist in San Diego, CA. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. DR. Gregory Ernest Koch, PSY.D. NPI is 1730180852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4081 STEPHENS ST
SAN DIEGO, CA
ZIP 92103-242
Phone: (888) 588-7836
Fax: (888) 588-7836

The enumeration date for this NPI number is 8/10/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralPSY19917CALIFORNIANo
2103TC0700XPsychologistClinicalPSY19917CALIFORNIANo
3103TC2200XPsychologistClinical Child & AdolescentPSY19917CALIFORNIANo
4103T00000XPsychologistPSY19917CALIFORNIANo
5103TP2701XPsychologistGroup PsychotherapyPSY19917CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10PL199170OTHERCALIFORNIABLUE SHIELD
211397904OTHERCALIFORNIACAQH
3PSY199170MEDICAIDCALIFORNIA
45551998OTHERCALIFORNIAFIRSTHEALTH/CCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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