Active NPI
Joseph Michael Gumina, M.A.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1215074828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24776
- Practice address
- 1625 Van Ness Ave FL 3
San Francisco, CA 94109 - Phone
- (415) 600-2902
- Fax
- (415) 749-1433
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 24776 | CA | Primary |
Addresses
Primary practice location
1625 Van Ness Ave FL 3
San Francisco, CA 94109
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-6200
Other practice location 1
747 52nd St
Oakland, CA 94609-1809
Phone (510) 428-3885 ext. 3358
Other practice location 2
100 Rowland Way Ste 205
Novato, CA 94945-5041
Phone (415) 600-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY24776 | Other | CA | STATE MEDICAL LICENSE |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1215074828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "415-600-6200",
"fax_number": "415-749-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 VAN NESS AVE FL 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94109",
"telephone_number": "415-600-2902",
"fax_number": "415-749-1433"
}
],
"practiceLocations": [
{
"address_1": "747 52nd St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946091809",
"country_code": "US",
"telephone_number": "510-428-3885 x3358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Rowland Way Ste 205",
"address_purpose": "LOCATION",
"city": "Novato",
"state": "CA",
"postal_code": "949455041",
"country_code": "US",
"telephone_number": "415-600-6200",
"fax_number": "415-749-1433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUMINA",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "PSY24776",
"state": "CA"
}
],
"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 Dec 4, 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.