Individual provider Active NPI

Elena Green Dobbs, PSYD

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1013244409
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32289 Issued in CA
Practice address
350 Sansome St Ste 630
San Francisco, CA 94104-1311
Phone
(925) 282-1778
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MMH 10089 FL
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 32289 NV
Psychologist 103T00000X 32289 CA Primary

Addresses

Primary practice location

350 Sansome St Ste 630
San Francisco, CA 94104-1311

Mailing address

350 Sansome St Ste 630
San Francisco, CA 94104-1311
Phone (925) 282-1778

Other practice location 1

8911 Lakewood Dr # 26A
Windsor, CA 95492-7856
Phone (407) 579-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229001600 CA Practitioner - Clinical Psychologist 6204226160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

350 Sansome St
Suite 630
San Francisco, CA 94104-1311
Phone (925) 282-1778

8911 Lakewood Dr
26A
Windsor, CA 95492-7856
Phone (407) 579-2310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MMH 10089FLMDMental Health Counselor
32289NVMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dobbs Psychology Inc Clinical Neuropsychologist CurrentSince Aug 19, 2021 Accepting new patients
Pacific Coast Psychiatric Associates Inc Single Specialty CurrentSince Apr 7, 2025 Accepting new patients
Optum Behavioral Care of California, P.C. PastSince Jan 21, 2024 Accepting new patients

Locations

1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292

350 Sansome St
Ste 630
San Francisco, CA 94104
Phone (415) 317-6991

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

8911 Lakewood Dr
#26A
Windsor, CA 95492
Phone (407) 579-2310

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1013244409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SANSOME ST STE 630",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041311",
            "telephone_number": "925-282-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SANSOME ST STE 630",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041311",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8911 Lakewood Dr # 26A",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CA",
            "postal_code": "954927856",
            "country_code": "US",
            "telephone_number": "407-579-2310",
            "fax_number": "951-351-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN DOBBS",
        "first_name": "ELENA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MMH 10089",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NV",
            "license": "32289",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "32289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.