Active NPI
Andrew Troy Dufrene, PHD, BCBA
- Psychologist
- San Francisco, CA
National Provider Identifier
1124681192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY61520805
- Practice address
- 465 California St Ste 660
San Francisco, CA 94104-1845 - Phone
- (510) 592-8776
- NPI assigned
- Apr 16, 2019
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY61520805 | WA | Primary |
| Behavior Analyst | 103K00000X | LBA0644 | NV |
Addresses
Primary practice location
465 California St Ste 660
San Francisco, CA 94104-1845
Mailing address
465 California St Ste 660
San Francisco, CA 94104-1845
Phone (510) 592-8776
Other names 1
- Troy Dufrene
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 29, 2024 through Sep 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA0644 | NV | MD | Behavioral Analyst |
| PY61520805 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1124681192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 CALIFORNIA ST STE 660",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941041845",
"telephone_number": "510-592-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 CALIFORNIA ST STE 660",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941041845",
"telephone_number": "510-592-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFRENE",
"first_name": "ANDREW",
"middle_name": "TROY",
"name_prefix": "Dr.",
"credential": "PHD, BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-16",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY61520805",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "LBA0644",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TROY",
"last_name": "DUFRENE",
"credential": "PHD, BCBA",
"code": "5",
"type": "Other 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 Jul 18, 2024; 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.