Tara Kline, PSYD

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

PSY29802 Issued in CA

Practice address

201 Mission St
Suite 1222, 12TH Floor
San Francisco, CA 94105

Phone

(415) 967-2025

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sea Change Psychotherapy Incorporated

  • Adult Mental Health Clinic/Center
  • Sausalito, CA
  • NPI 1568185619
  NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1083768535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MISSION ST",
            "address_2": "SUITE 1222, 12TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94105",
            "telephone_number": "415-967-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MISSION ST",
            "address_2": "SUITE 1222, 12TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94105",
            "telephone_number": "415-967-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Howard St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941032638",
            "country_code": "US",
            "telephone_number": "415-255-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINE",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY29802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Louisa Klepper
• Robert Michael Klett, M.D.
• Michelle Elise Kletter
• Sara Kliger
• Judith M Kline, LCSW
• Travis Walter Klingelberg, MSW
• Emily Ann Klingenberger, AMFT
• Kerry Apostolo Klinger, MD, EIN
• Leah A. Klinger, MD
• Alexander Augustus Klink

• Addiction (Substance Use Disorder) Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Addiction (Substance Use Disorder) Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.