Active NPI
Carolyn Stead, PSYD
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1194882662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 24561
- Practice address
- 110 Gough St
#202
San Francisco, CA 94102-5945 - Phone
- (415) 343-5808
- NPI assigned
- Jan 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 24561 | CA | Primary |
Addresses
Primary practice location
110 Gough St
#202
San Francisco, CA 94102-5945
Mailing address
660 4TH St # 423
San Francisco, CA 94107-1618
Phone (415) 343-5808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 24561 | CA | MD | Clinical Psychologist |
| 24561 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1194882662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 4TH ST # 423",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071618",
"telephone_number": "415-343-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GOUGH ST",
"address_2": "#202",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025945",
"telephone_number": "415-343-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEAD",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 24561",
"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 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.