Individual provider Active NPI

Shulamit Glaubach, M.D.

  • Child & Adolescent Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1003121708
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
34212 Issued in CA
Practice address
1939 Divisadero St
Suite 4C
San Francisco, CA 94115-2507
Phone
(415) 440-6505
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34212 CA
Child & Adolescent Psychiatry Physician 2084P0804X 34212 CA Primary

Addresses

Primary practice location

1939 Divisadero St
Suite 4C
San Francisco, CA 94115-2507

Mailing address

1939 Divisadero St
Suite 4C
San Francisco, CA 94115-2507
Phone (415) 440-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34212CAMDTechnician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1003121708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 DIVISADERO ST",
            "address_2": "SUITE 4C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152507",
            "telephone_number": "415-440-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 DIVISADERO ST",
            "address_2": "SUITE 4C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152507",
            "telephone_number": "415-440-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUBACH",
        "first_name": "SHULAMIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "34212",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "34212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.