Active NPI
Maria Piccillo, PSY.D.
- Psychologist
- San Francisco, CA
National Provider Identifier
1174716062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 870 Market St
Suite 1275
San Francisco, CA 94102-3002 - Phone
- (415) 397-6622
- Fax
- (415) 397-6666
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
870 Market St
Suite 1275
San Francisco, CA 94102-3002
Mailing address
687 Highland Ave
Needham, MA 02494-2232
Phone (559) 999-5247
Other practice location 1
941 Park Ave
Cranston, RI 02910-2721
Phone (559) 999-5247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 7, 2024 through Mar 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Psychotherapy Center of Greater Boston, Inc. | Past | Accepting new patients | |
| Sharper Future | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1255593695
-
- Community/Behavioral Health Agency
- Needham, MA
- NPI 1861611592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1174716062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 HIGHLAND AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942232",
"telephone_number": "559-999-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 MARKET ST",
"address_2": "SUITE 1275",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023002",
"telephone_number": "415-397-6622",
"fax_number": "415-397-6666"
}
],
"practiceLocations": [
{
"address_1": "941 Park Ave",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029102721",
"country_code": "US",
"telephone_number": "559-999-5247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICCILLO",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"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 15, 2025; 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.