Organization Active NPI

Pacific Institute

  • Adult Development & Aging Psychologist
  • San Francisco, CA
National Provider Identifier
1104097187
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
Legal business name
PACIFIC INSTITUTE
Practice address
432 Ivy St
San Francisco, CA 94102-4254
Phone
(415) 861-3455
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Doris Bersing
Title
Dirctor
Phone
(415) 861-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X Primary

Addresses

Primary practice location

432 Ivy St
San Francisco, CA 94102-4254

Mailing address

432 Ivy St
San Francisco, CA 94102-4254

National Provider Directory

National Provider Directory
Tax ID family
Pacific Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1104097187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 IVY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 IVY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024254",
            "telephone_number": "415-861-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "BERSING",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRCTOR",
        "authorized_official_telephone_number": "415-861-3455"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "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 Mar 18, 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.

Verify at the official NPI Registry.