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

Individual provider Clinical Psychologist · NPI 1780912899

Dr. Jeffery Grady Coker, PSYD is a Clinical Psychologist in Long Beach, California. Qualified in 2005, 21 years ago. Practices with Community Medical Wellness Centers USA, a 30-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2009
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

320 Pine Ave Ste 608
Long Beach, CA 90802-2310
Phone: (562) 595-3955
Fax: (562) 315-3005
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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 22853 (CA)

Record details

NPI number1780912899
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 1, 2009
Last updated in NPPESOctober 6, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Community Medical Wellness Centers Usa — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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