Psyched in San Francisco

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC51082 Issued in CA

Legal business name

PSYCHED IN SAN FRANCISCO

Practice address

582 Market St Ste 1110
San Francisco, CA 94104-5312

Phone

(415) 520-5567

NPI assigned

Dec 12, 2014

Organization subpart

No

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

Authorized official

Name

Traci Ruble, MA MFC51082

Title

Director

Phone

(415) 520-5567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1154729762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045312",
            "telephone_number": "415-520-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045312",
            "telephone_number": "415-520-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHED IN SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "RUBLE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-520-5567",
        "authorized_official_credential": "MA MFC51082"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC51082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.