Active NPI
Dr. Rebecca Wilson Psychotherapy Inc.
- Adult Mental Health Clinic/Center
- San Francisco, CA
National Provider Identifier
1033754411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- DR. REBECCA WILSON PSYCHOTHERAPY INC.
- Practice address
- 3150 18TH St Ste 534
San Francisco, CA 94110-2074 - Phone
- (413) 262-1405
- NPI assigned
- Nov 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca Wilson, PSY.D.
- Title
- Ceo
- Phone
- (413) 262-1405
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
3150 18TH St Ste 534
San Francisco, CA 94110-2074
Mailing address
1395 Golden Gate Ave Apt 102
San Francisco, CA 94115-4737
Phone (413) 262-1405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.drrebeccawilson.com | Direct |
National Provider Directory
National Provider DirectoryLocations
3150 18th St
Ste 534
San Francisco, CA 94110
Phone (413) 262-1405
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- San Francisco, CA
- NPI 1578946794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573257600000",
"number": "1033754411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 GOLDEN GATE AVE APT 102",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154737",
"telephone_number": "413-262-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 18TH ST STE 534",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102074",
"telephone_number": "413-262-1405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. REBECCA WILSON PSYCHOTHERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-09",
"last_updated": "2019-11-09",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "413-262-1405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.drrebeccawilson.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "3150 18th St Ste 534",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941102074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.