Individual provider Active NPI

Alexander V. Zinchenko, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1265511281
Registry record updated Oct 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19052 Issued in CA
Practice address
2211 Post St
Suite 401
San Francisco, CA 94115-3464
Phone
(415) 846-0047
Fax
(415) 668-0246
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2015

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 PSY19052 CA Primary

Addresses

Primary practice location

2211 Post St
Suite 401
San Francisco, CA 94115-3464

Mailing address

2211 Post St
Suite 401
San Francisco, CA 94115-3464
Phone (415) 846-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120001002 CA Practitioner - Clinical Psychologist 7517861644 Reassigns benefits to 2 organizations
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Area Multi-Services, Inc.Group PAC ID 4284675588, 18 clinicians

Practice addresses (Care Compare)

3626 Balboa St
San Francisco, CA 94121-2604
Phone (415) 668-5955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY19052CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Sep 9, 2018 Accepting new patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Sep 9, 2018 Accepting new patients
Richmond Area Multi-Services, Inc. CurrentSince Jul 7, 2010 Accepting new patients

Locations

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

3626 Balboa St
San Francisco, CA 94121
Phone (415) 282-9675

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445040000000",
    "number": "1265511281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 POST ST",
            "address_2": "SUITE 401",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153464",
            "telephone_number": "415-846-0047",
            "fax_number": "415-668-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 POST ST",
            "address_2": "SUITE 401",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153464",
            "telephone_number": "415-846-0047",
            "fax_number": "415-668-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINCHENKO",
        "first_name": "ALEXANDER",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.