Active NPI
Mai Thi Nguyen, PSY.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1295920841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24332
- Practice address
- 2211 Post St
Ste 401
San Francisco, CA 94115-3442 - Phone
- (415) 832-5611
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 24332 | CA | Primary |
Addresses
Primary practice location
2211 Post St
Ste 401
San Francisco, CA 94115-3442
Mailing address
1355 Market St
Suite 220
San Francisco, CA 94103-1326
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24332 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1295920841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 MARKET ST",
"address_2": "SUITE 220",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 POST ST",
"address_2": "STE 401",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153442",
"telephone_number": "415-832-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MAI",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24332",
"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 Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.