Active NPI
Katherine Maribah Fraser, D.M.H.
- Psychoanalyst
- San Francisco, CA
National Provider Identifier
1194957456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- PSY10868
- Practice address
- 244 Myrtle St
San Francisco, CA 94109-6838 - Phone
- (415) 921-6760
- NPI assigned
- Aug 19, 2009
- Last updated
- Aug 19, 2009
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC7616 | CA | |
| Psychoanalyst | 102L00000X | PSY10868 | CA | Primary |
Addresses
Primary practice location
244 Myrtle St
San Francisco, CA 94109-6838
Mailing address
244 Myrtle St
San Francisco, CA 94109-6838
Phone (415) 921-6760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 18, 2025 through Jun 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10868 | CA | MD | Psychoanalyst |
| MFC7616 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1194957456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 MYRTLE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096838",
"telephone_number": "415-921-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 MYRTLE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096838",
"telephone_number": "415-921-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "KATHERINE",
"middle_name": "MARIBAH",
"name_prefix": "Dr.",
"credential": "D.M.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC7616",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "PSY10868",
"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 Aug 19, 2009; 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.