Individual provider Active NPI

Dana Monique Girard, PSY.D.

  • Clinical Psychologist
  • Redwood City, CA
National Provider Identifier
1215122098
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25448 Issued in CA
Practice address
1788 Kansas St
Redwood City, CA 94061-2635
Phone
(650) 889-8765
Fax
(650) 649-1943
NPI assigned
Sep 13, 2007
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 PSY25448 CA Primary

Addresses

Primary practice location

1788 Kansas St
Redwood City, CA 94061-2635

Mailing address

50 Woodside PLZ Ste 412
Redwood City, CA 94061-2500
Phone (650) 889-8765

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

LicenseStateTypeSpecialty
PSY25448CAMDClinical Psychologist
25448CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dana Girard Clinical Psychologist Inc CurrentSince Jun 12, 2022 Accepting new patients

Organizations & group practices 1

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1215122098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WOODSIDE PLZ STE 412",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612500",
            "telephone_number": "650-889-8765",
            "fax_number": "650-262-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 KANSAS ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612635",
            "telephone_number": "650-889-8765",
            "fax_number": "650-649-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "DANA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2022-05-25",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.