Cody Gustaveson, PHD
NPI 1790303451 · Clinical Psychologist · La Mesa, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cody Gustaveson, PHD is a Clinical Psychologist provider in La Mesa, CA (NPI 1790303451).
Provider details
- NPI number
- 1790303451
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 34321 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5893 Copley DrSan Diego, CA 92111-7906Phone: (858) 616-5753
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2025-01-24
- Certified
- 2025-01-24
Frequently asked questions
- What is Cody Gustaveson's NPI number?
- Cody Gustaveson's National Provider Identifier (NPI) is 1790303451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cody Gustaveson's specialty?
- Cody Gustaveson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Cody Gustaveson located?
- Cody Gustaveson's practice location on file with NPPES is 8881 Fletcher Pkwy Ste 350-360, La Mesa, CA 91942-3134.
- What is Cody Gustaveson's phone number?
- The practice phone number listed in the NPPES registry for Cody Gustaveson is (858) 279-1223.
- Does Cody Gustaveson accept Medicare?
- Cody Gustaveson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cody Gustaveson's NPI active?
- Yes — Cody Gustaveson's NPI (1790303451) is active in the NPPES registry as of the last update on 2025-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.