Active NPI
Diane Mosbacher, M.D., PH.D.
- Psychologist
- San Francisco, CA
National Provider Identifier
1225139264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- C41542
- Practice address
- 3570 Clay St
San Francisco, CA 94118-1839 - Phone
- (415) 921-5687
- NPI assigned
- Sep 25, 2006
- Reactivated
- May 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | C41542 | CA | Primary |
Addresses
Primary practice location
3570 Clay St
San Francisco, CA 94118-1839
Mailing address
3570 Clay St
San Francisco, CA 94118-1839
Phone (415) 921-5687
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C41542 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1225139264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 CLAY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181839",
"telephone_number": "415-921-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 CLAY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181839",
"telephone_number": "415-921-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSBACHER",
"first_name": "DIANE",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2019-05-22",
"deactivation_date": "2017-08-25",
"reactivation_date": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "C41542",
"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 May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.