Active NPI
Gergely Foldesi, PSY.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1114405420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30154
- Practice address
- 2504 Clay St
San Francisco, CA 94115-1811 - Phone
- (917) 456-9010
- NPI assigned
- Jul 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30154 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 024310 | NY |
Addresses
Primary practice location
2504 Clay St
San Francisco, CA 94115-1811
Mailing address
27 W 60TH St Unit 20127
New York, NY 10023-9703
Phone (917) 456-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 17, 2023 through Dec 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30154 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1114405420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 W 60TH ST UNIT 20127",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100239703",
"telephone_number": "917-456-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 CLAY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151811",
"telephone_number": "917-456-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLDESI",
"first_name": "GERGELY",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-31",
"last_updated": "2021-12-10",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30154",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024310",
"primary": false
}
],
"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 Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.