Active NPI
Debra J. Safren, PSY.D.
- Psychologist
- San Francisco, CA
National Provider Identifier
1073763066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY22063
- Practice address
- 3801 3Rd St BLDG B
Ste. 400
San Francisco, CA 94124-1409 - Phone
- (415) 401-4316
- Fax
- (415) 970-3813
- NPI assigned
- Sep 25, 2008
- 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 | PSY22063 | CA | Primary |
Addresses
Primary practice location
3801 3Rd St BLDG B
Ste. 400
San Francisco, CA 94124-1409
Mailing address
3801 3Rd St BLDG B
Ste. 400
San Francisco, CA 94124-1409
Phone (415) 401-4316
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22063 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1073763066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 3RD ST BLDG B",
"address_2": "STE. 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241409",
"telephone_number": "415-401-4316",
"fax_number": "415-970-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 3RD ST BLDG B",
"address_2": "STE. 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241409",
"telephone_number": "415-401-4316",
"fax_number": "415-970-3813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFREN",
"first_name": "DEBRA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY22063",
"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 Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.