Roberta Seifert PHD a Psychological Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY5133 Issued in CA

Legal business name

ROBERTA SEIFERT PHD A PSYCHOLOGICAL CORPORATION

Practice address

817 D St
San Rafael, CA 94901-2813

Phone

(415) 456-1777

Fax

(415) 456-0235

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roberta Terry Seifert, PH.D.

Title

President

Phone

(415) 456-1777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1184823700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012813",
            "telephone_number": "415-456-1777",
            "fax_number": "415-456-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012813",
            "telephone_number": "415-456-1777",
            "fax_number": "415-456-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA SEIFERT PHD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "SEIFERT",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-456-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY5133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Jo Rivera
• Ann Dale Rivo
• Joan Campbell Roane, MFT
• Lisa Marie Robechek, M.DIV.
• Robert B Levine OD a Professional Optometric Corporation
• Jenene Marie Roberto
• Alicia Roberts
• Eric Scott Roberts, BA
• Miles Roberts
• Michael Robins

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.