Organization Active NPI

Bullard Psychology Consulting, Inc.

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1104047562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY4843 Issued in CA
Legal business name
BULLARD PSYCHOLOGY CONSULTING, INC.
Practice address
1968 Green St
San Francisco, CA 94123-4811
Phone
(415) 239-1584
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Gilmore Bullard, PH.D.
Title
President
Phone
(415) 239-1584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY4843 CA Primary

Addresses

Primary practice location

1968 Green St
San Francisco, CA 94123-4811

Mailing address

1968 Green St
San Francisco, CA 94123-4811
Phone (415) 239-1584

Other identifiers 1

IdentifierTypeStateIssuer
PSY4843OtherCAPSYCHOLOGIST LICENSE

Other names 1

  • David G. Bullard, Ph.D. Other name

National Provider Directory

National Provider Directory

Locations

1968 Green St
San Francisco, CA 94123
Phone (415) 239-1584

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104047562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 GREEN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234811",
            "telephone_number": "415-239-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 GREEN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234811",
            "telephone_number": "415-239-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLARD PSYCHOLOGY CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GILMORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-239-1584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY4843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PSY4843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David G. Bullard, Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.