John August Lundin, PSY.D.
Individual provider Active NPI Clinical Psychologist · Piedmont, CA
NPI 1164576567 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164576567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY19824 (CA)
- Practice address
- 459 Boulevard Way
Piedmont, CA 94610-1526 - Phone
- (415) 305-0061
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19824 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Gate Psychological Corporation | Clinical | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY19824 | CA | Yes |
Addresses
Primary practice location
459 Boulevard Way
Piedmont, CA 94610-1526
Mailing address
934 Carolina St Apt 1
San Francisco, CA 94107-3337
Phone (415) 305-0061
Other providers in Piedmont, CA
- Ben Lintschinger
- Julie M Locke
- Kathleen Ann Longwell
- Los Robles Radiologic Associates
- Teresa Ludwig
- Susan Marie Lyon
- Carly Magnus
- Jill Ann Martenson
- Emmanuelle Martin
- Cassandra May
All providers in Piedmont, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.