Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gregory Elisha Bottum, PSYD

Individual provider Clinical Psychologist · NPI 1639101736

Dr. Gregory Elisha Bottum, PSYD is a Clinical Psychologist in Orangevale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

9264 Madison Ave
Orangevale, CA 95662-5858
Phone: (916) 797-0695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 6405 (CA)

Record details

NPI number1639101736
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 8, 2007

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