Individual provider Active NPI

Demetry Paris Apostle, PH.D.

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1265916290
Registry record updated Sep 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY30341 Issued in CA
Practice address
870 Market St Ste 357
San Francisco, CA 94102-3030
Phone
(415) 529-0281
NPI assigned
Sep 15, 2018
Last updated
Sep 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY30341 CA Primary

Addresses

Primary practice location

870 Market St Ste 357
San Francisco, CA 94102-3030

Mailing address

17 Yarrow LN
Novato, CA 94947-4926
Phone (415) 529-0281

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
I20181114003070 CA Practitioner - Clinical Psychologist 8527312362 Practice locations: San Francisco, CA; San Rafael, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

605 B St
San Rafael, CA 94901-3805
Phone (415) 529-0281

870 Market St
Suite 357
San Francisco, CA 94102-3030
Phone (415) 529-0281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY30341CAMDPsychologist
30341CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Forward Psychology Consultation PC PastSince Mar 28, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1265916290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 YARROW LN",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474926",
            "telephone_number": "415-529-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 357",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023030",
            "telephone_number": "415-529-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOSTLE",
        "first_name": "DEMETRY",
        "middle_name": "PARIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-15",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.