Organization Active NPI

Dr. Rebecca Wilson Psychotherapy Inc.

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1033754411
Registry record updated Nov 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Nov 9, 2019

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

Authorized official

Name
Dr. Rebecca Wilson, PSY.D.NPI 1578946794
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NAOtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.drrebeccawilson.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

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 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.

Verify at the official NPI Registry.