Duy D. Vu, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30890 Issued in CA

Practice address

4460 Redwood Hwy Ste 16-303
San Rafael, CA 94903-1951

Phone

(415) 910-5151

NPI assigned

Aug 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trauma & Stress Recovery, a Medical Group Inc.

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1528676269
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1194031872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 REDWOOD HWY STE 16-303",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031951",
            "telephone_number": "415-910-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 REDWOOD HWY STE 16-303",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031951",
            "telephone_number": "415-910-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "DUY",
        "middle_name": "D.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Fitzmaurice Von Doepp, IBCLC
• Otto A. Von Franque, MD
• Skylar Vos
• Ruth Ann Vosmek, LCSW
• Lauren Vreeland-Long
• Monica Vu
• Dieu Vuong, OD
• Neellab Gina Wahdat
• Laura Wahpepah, NP
• Amanda Michelle Waite, RPH

• Clinical Psychologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.