Organization Active NPI

Dr Dana Girard Clinical Psychologist Inc

  • Mental Health Counselor
  • Redwood City, CA
National Provider Identifier
1003545567
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DR DANA GIRARD CLINICAL PSYCHOLOGIST INC
Practice address
1788 Kansas St
Redwood City, CA 94061-2635
Phone
(650) 889-8765
Fax
(650) 649-1943
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Dana Monique Girard, PSY.D.NPI 1215122098
Title
Owner
Phone
(650) 889-8765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1788 Kansas St
Redwood City, CA 94061-2635

Mailing address

1788 Kansas St
Redwood City, CA 94061-2635
Phone (650) 889-8765

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL simplepractice.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1003545567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 KANSAS ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612635",
            "telephone_number": "650-889-8765",
            "fax_number": "650-649-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 KANSAS ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612635",
            "telephone_number": "650-889-8765",
            "fax_number": "650-649-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANA GIRARD CLINICAL PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "GIRARD",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-889-8765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1788 Kansas St",
            "city": "Redwood City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940612635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.