Active NPI
Debra M Durnell, MTF PHD
- Psychologist
- San Francisco, CA
National Provider Identifier
1003975947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MFT30344
- Practice address
- 2011 29TH Ave
San Francisco, CA 94116 - Phone
- (415) 661-8399
- Fax
- (415) 661-8399
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | MFT30344 | CA | Primary |
Addresses
Primary practice location
2011 29TH Ave
San Francisco, CA 94116
Mailing address
2011 29TH Ave
San Francisco, CA 94116
Phone (415) 661-8399
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT30344 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003975947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 29TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94116",
"telephone_number": "415-661-8399",
"fax_number": "415-661-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 29TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94116",
"telephone_number": "415-661-8399",
"fax_number": "415-661-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURNELL",
"first_name": "DEBRA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MTF PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "MFT30344",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.