Active NPI
Nancy J Carter, PSCYH INTERN
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1306036710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32066
- Practice address
- 3195 California St
San Francisco, CA 94115-2412 - Phone
- (510) 792-4964
- NPI assigned
- Aug 1, 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 | 32066 | CA | Primary |
Addresses
Primary practice location
3195 California St
San Francisco, CA 94115-2412
Mailing address
1320 Shattuck Ave Apt a
Berkeley, CA 94709-1415
Phone (510) 697-0057
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 |
|---|---|---|---|
| 32066 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1306036710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 SHATTUCK AVE APT A",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091415",
"telephone_number": "510-697-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3195 CALIFORNIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152412",
"telephone_number": "510-792-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PSCYH INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32066",
"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 11, 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.