Active NPI
Max Littman
- Counselor
- San Francisco, CA
National Provider Identifier
1225405111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 72052
- Practice address
- 52 Dore St
San Francisco, CA 94103-3828 - Phone
- (415) 553-3100
- Fax
- (415) 553-3118
- NPI assigned
- Aug 26, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | 72052 | CA | Primary |
Addresses
Primary practice location
52 Dore St
San Francisco, CA 94103-3828
Mailing address
368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 20, 2023 through Nov 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87313 | CA | MD | Pharmacist |
| 72052 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1225405111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 FELL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025144",
"telephone_number": "415-861-0828",
"fax_number": "415-861-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 DORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941033828",
"telephone_number": "415-553-3100",
"fax_number": "415-553-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTMAN",
"first_name": "MAX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-26",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "72052",
"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 Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.