Individual provider Active NPI

Marilyn Rose Margiotti, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1215080171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 11796 Issued in CA
Practice address
235 Montgomery St
Suite 1020
San Francisco, CA 94104-3003
Phone
(415) 433-9438
Fax
(925) 937-9810
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 11796 CA Primary

Addresses

Primary practice location

235 Montgomery St
Suite 1020
San Francisco, CA 94104-3003

Mailing address

235 Montgomery St
Suite 1020
San Francisco, CA 94104-3003
Phone (415) 433-9438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 11796CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215080171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MONTGOMERY ST",
            "address_2": "SUITE 1020",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043003",
            "telephone_number": "415-433-9438",
            "fax_number": "925-937-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MONTGOMERY ST",
            "address_2": "SUITE 1020",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043003",
            "telephone_number": "415-433-9438",
            "fax_number": "925-937-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGIOTTI",
        "first_name": "MARILYN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 11796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.