Individual provider Active NPI

Olga V. Yakimovich-Mauer, PSYCHOLOGIST

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1205915246
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 15898 Issued in CA
Practice address
1990 41St Ave
San Francisco, CA 94116-1101
Phone
(415) 753-7255
Fax
(415) 753-0164
NPI assigned
Nov 2, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 15898 CA Primary

Addresses

Primary practice location

1990 41St Ave
San Francisco, CA 94116-1101

Mailing address

1380 Howard St
5TH Floor
San Francisco, CA 94103-2638
Phone (415) 255-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000637 CA Practitioner - Clinical Psychologist 0648167411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1990 41St Ave
San Francisco, CA 94116-1101
Phone (415) 753-7400

760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1700

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 15898CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
City and Couny of San Francisco CurrentSince Jan 27, 2014 Accepting new patients
City and County of San Francisco CurrentSince Jan 27, 2014 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1380 Howard St
Fl 5
San Francisco, CA 94103
Phone (415) 255-3699

1990 41st Ave
San Francisco, CA 94116
Phone (415) 753-7255

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205915246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 HOWARD ST",
            "address_2": "5TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032638",
            "telephone_number": "415-255-3699",
            "fax_number": "415-252-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161101",
            "telephone_number": "415-753-7255",
            "fax_number": "415-753-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKIMOVICH-MAUER",
        "first_name": "OLGA",
        "middle_name": "V.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 15898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.