Tom Gordon Bekeny, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 14304 Issued in CA

Practice address

2481 Clay St
Suite 203
San Francisco, CA 94115-1808

Phone

(415) 567-6581

Fax

(415) 474-6409

NPI assigned

Sep 29, 2006

Last updated

Apr 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1124110523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 CLAY ST",
            "address_2": "SUITE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151808",
            "telephone_number": "415-567-6581",
            "fax_number": "415-474-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 CLAY ST",
            "address_2": "SUITE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151808",
            "telephone_number": "415-567-6581",
            "fax_number": "415-474-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKENY",
        "first_name": "TOM",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 14304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Clare Beitch
• Allixandria Bejar
• Iliana Yuselmy Bejarano
• Rana Bejjani, PHARMACIST
• Meron Bekele, NP
• Fady Naiem Zahy Bekheet
• Sona Bekmezian, DDS
• Benjamin Frank Beland, MD
• Nicholas Marcelo Belasco
• Tattiana Belay

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.