Active NPI
Wendy J Ehrlich, PH.D,
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1164662193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 17532
- Practice address
- 2100 Webster St
Suite 320
San Francisco, CA 94115-2373 - Phone
- (650) 533-4185
- Fax
- (415) 474-9423
- NPI assigned
- Mar 3, 2009
- Last updated
- Sep 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY 17532 | CA | |
| Clinical Psychologist | 103TC0700X | PSY 17532 | CA | Primary |
Addresses
Primary practice location
2100 Webster St
Suite 320
San Francisco, CA 94115-2373
Mailing address
PO Box 1335
Burlingame, CA 94011-1335
Phone (650) 533-4185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151021002335 | CA | Practitioner - Psychologist Billing Independently | 4082923651 | Practice locations: Burlingame, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Burlingame, CA 94010
Phone (650) 533-4185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 17532 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1164662193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1335",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940111335",
"telephone_number": "650-533-4185",
"fax_number": "650-685-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST",
"address_2": "SUITE 320",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152373",
"telephone_number": "650-533-4185",
"fax_number": "415-474-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRLICH",
"first_name": "WENDY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY 17532",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 17532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.