Active NPI
Pamela Parkinson
- Clinical Child & Adolescent Psychologist
- San Francisco, CA
National Provider Identifier
1295966729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY 14362
- Practice address
- 1010 Gough St
San Francisco, CA 94109-7622 - Phone
- (415) 474-7310
- NPI assigned
- Jul 31, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY 14362 | CA | Primary |
| Clinical Social Worker | 1041C0700X | LCS 15692 | CA |
Addresses
Primary practice location
1010 Gough St
San Francisco, CA 94109-7622
Mailing address
1010 Gough St
San Francisco, CA 94109-7622
Phone (415) 474-7310
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 |
|---|---|---|---|
| PSY 14362 | CA | MD | Clinical Child & Adolescent Psychologist |
| LCS 15692 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254614400000",
"number": "1295966729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097622",
"telephone_number": "415-474-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097622",
"telephone_number": "415-474-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKINSON",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2009-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY 14362",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 15692",
"primary": false
}
],
"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 Oct 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.