Active NPI
Kesha Patrice, PHD
- Psychologist
- San Francisco, CA
National Provider Identifier
1255948600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 939 Ellis St
San Francisco, CA 94109-7714 - Phone
- (925) 698-3018
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
939 Ellis St
San Francisco, CA 94109-7714
Mailing address
939 Ellis St
San Francisco, CA 94109-7714
Other practice location 1
1940 Washington St Apt 303
San Francisco, CA 94109-2933
Phone (925) 698-3018
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1255948600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 ELLIS ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 ELLIS ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097714",
"telephone_number": "925-698-3018"
}
],
"practiceLocations": [
{
"address_1": "1940 Washington St Apt 303",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941092933",
"country_code": "US",
"telephone_number": "925-698-3018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRICE",
"first_name": "KESHA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"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 Sep 29, 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.