Active NPI
Demetra Paras, PHD
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1275758385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY17784
- Practice address
- 759 S Van Ness Ave
San Francisco, CA 94110-1908 - Phone
- (415) 642-4550
- Fax
- (415) 695-6963
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY17784 | CA | Primary |
Addresses
Primary practice location
759 S Van Ness Ave
San Francisco, CA 94110-1908
Mailing address
759 S Van Ness Ave
San Francisco, CA 94110-1908
Phone (415) 642-4550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8340 | Other | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER | |
| 8340 | Other | SFGH INTERNAL USE ONLY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17784 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1275758385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 S VAN NESS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101908",
"telephone_number": "415-642-4550",
"fax_number": "415-695-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 S VAN NESS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101908",
"telephone_number": "415-642-4550",
"fax_number": "415-695-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAS",
"first_name": "DEMETRA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY17784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "8340",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY",
"identifier": "8340",
"state": null
}
],
"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 Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.