Individual provider Active NPI

Richard Jeffrey Palmer, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1093892549
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
418 Issued in WA
Practice address
3609 Sacramento St
San Francisco, CA 94118-1709
Phone
(415) 237-0377
NPI assigned
Nov 1, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 418 WA Primary

Addresses

Primary practice location

3609 Sacramento St
San Francisco, CA 94118-1709

Mailing address

3609 Sacramento St
San Francisco, CA 94118-1709
Phone (415) 237-0377

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
418WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcia Houdek Jimenez, PH.D. Clinical PastSince Apr 26, 2012 Accepting new patients
Brian D Jaeger MD PS Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1093892549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181709",
            "telephone_number": "415-237-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181709",
            "telephone_number": "415-237-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RICHARD",
        "middle_name": "JEFFREY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "418",
            "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 Apr 29, 2024; 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.