Individual provider Active NPI

Ariane Etienne Eroy, PH. D.

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1285703850
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
26336 Issued in CA
Practice address
1801 Bush St
San Francisco, CA 94109-5239
Phone
(415) 789-7675
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 26336 CA Primary

Addresses

Primary practice location

1801 Bush St
San Francisco, CA 94109-5239

Mailing address

PO Box 460002
San Francisco, CA 94146-0002
Phone (415) 789-7675

Other identifiers 1

IdentifierTypeStateIssuer
1580OtherCASF MENTAL HEALTH PROVIDER

Other names 1

  • Miss Carol Wolff Former name

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
I20141002001468 CA Practitioner - Clinical Psychologist 9133349731 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Francisco, CA 94121
Phone (415) 789-7675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26336CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1285703850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460002",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941460002",
            "telephone_number": "415-789-7675",
            "fax_number": "415-668-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095239",
            "telephone_number": "415-789-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROY",
        "first_name": "ARIANE",
        "middle_name": "ETIENNE",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SF MENTAL HEALTH PROVIDER",
            "identifier": "1580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WOLFF",
            "prefix": "MISS",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.