Active NPI
Rebecca Ann Branstetter, PH.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1124298559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY#22654
- Practice address
- 595 Buckingham Way
Ste 532
San Francisco, CA 94132 - Phone
- (510) 681-4303
- Fax
- (510) 547-8790
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB32977 | CA | |
| School Psychologist | 103TS0200X | LEP2864 | CA | |
| Clinical Psychologist | 103TC0700X | PSY#22654 | CA | Primary |
| School Psychologist | 103TS0200X | LEP#2864 | CA |
Addresses
Primary practice location
595 Buckingham Way
Ste 532
San Francisco, CA 94132
Mailing address
P.O. Box 8683
Emeryville, CA 94662
Phone (510) 681-4303
Other names 1
- Rebecca Ann Bell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB32977 | CA | MD | Clinical Psychologist |
| PSY#22654 | CA | MD | Clinical Psychologist |
| LEP#2864 | CA | MD | School Psychologist |
| LEP2864 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1124298559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8683",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94662",
"telephone_number": "510-681-4303",
"fax_number": "510-547-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 BUCKINGHAM WAY",
"address_2": "STE 532",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94132",
"telephone_number": "510-681-4303",
"fax_number": "510-547-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSTETTER",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB32977",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "LEP2864",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY#22654",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "LEP#2864",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BELL",
"middle_name": "ANN",
"credential": "PH.D.",
"code": "1",
"type": "Former 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 Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.