Active NPI
Pacific Institute
- Adult Development & Aging Psychologist
- San Francisco, CA
National Provider Identifier
1104097187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 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 Institute
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- San Francisco, CA
- NPI 1972700698
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
- Pacific Heights Surgery Center of San Francisco LP
- Pacific Heights Surgery Center of San Francisco, LP
- Pacific Hematology Oncology Assoc
- Pacific Horizon Medical Group Inc.
- Pacific Inpatient Medical Group
- Pacific Institute
- Pacific Institute
- Pacific Integrative Medicine, Inc.
- Pacific Internal Medicine Associates
- Pacific Medical, Inc.
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.