Psyche-Soma Clinic

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

14896 Issued in CA

Legal business name

PSYCHE-SOMA CLINIC

Practice address

2506 Clay St
San Francisco, CA 94115-1811

Phone

(415) 451-7056

Fax

(415) 456-8578

NPI assigned

Aug 4, 2010

Last updated

Apr 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen J Ducat, N.D.,PH.DNPI 1528379286

Title

Owner

Phone

(415) 451-7056

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen J Ducat, N.D., PH.D.

  • Naturopath
  • Bend, OR
  • NPI 1528379286
  Authorized official Same address or phone
• Yim H. Chan, M.D.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1659458289
  NPD (past)
• Susan Clifford, PH.D.

  • Clinical Psychologist
  • Bend, OR
  • NPI 1821133802
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1023322864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 CLAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151811",
            "telephone_number": "415-451-7056",
            "fax_number": "415-456-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 CLAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151811",
            "telephone_number": "415-451-7056",
            "fax_number": "415-456-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE-SOMA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "DUCAT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-451-7056",
        "authorized_official_credential": "N.D.,PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "14896",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Sequeira Przybycien, MD
• Riki Przytula, AG-ACNP
• Psinc Inc
• Psinc, Inc
• Psoas Massage and Bodywork
• Psyched in San Francisco
• Psychiatric Alternatives and Wellness Center
• Psychiatric Healthcare Medical Corp
• Psychiatric Nursing Prescriber (Personal Practitioners)
• Psychology Services of San Francisco, Incorporated

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.