Organization Active NPI

Judith Janaro Fabian PHD a Professional Corporation

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1265592851
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY3488 Issued in CA
Legal business name
JUDITH JANARO FABIAN PHD A PROFESSIONAL CORPORATION
Practice address
182 Granville Way
San Francisco, CA 94127-1134
Phone
(415) 771-7171
Fax
(415) 771-7171
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Judith Janaro Fabian, PHD ABPP
Title
President & Chief Executive Officer
Phone
(415) 771-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY3488 CA Primary

Addresses

Primary practice location

182 Granville Way
San Francisco, CA 94127-1134

Mailing address

182 Granville Way
San Francisco, CA 94127-1134
Phone (415) 771-7171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265592851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 GRANVILLE WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271134",
            "telephone_number": "415-771-7171",
            "fax_number": "415-771-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 GRANVILLE WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271134",
            "telephone_number": "415-771-7171",
            "fax_number": "415-771-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH JANARO FABIAN PHD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FABIAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "JANARO",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-771-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD ABPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY3488",
            "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 Aug 22, 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.

Verify at the official NPI Registry.