NPIMap

Organization Active NPI

Shelley Peery PHD

  • Medical Specialty Clinic/Center
  • San Francisco, CA
National Provider Identifier
1306103544
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
PSY 21904 Issued in CA
Legal business name
SHELLEY PEERY PHD
Practice address
760 Market St
Suite 712
San Francisco, CA 94102-2401
Phone
(415) 627-9095
Fax
(415) 627-9108
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Shelley Peery, PHDNPI 1215056460
Title
Owner
Phone
(415) 627-9095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X PSY 21904 CA Primary

Addresses

Primary practice location

760 Market St
Suite 712
San Francisco, CA 94102-2401

Mailing address

760 Market St
Suite 712
San Francisco, CA 94102-2401
Phone (415) 627-9095

Other names 1

  • San Francisco Neuropsychology Specialists Other name

National Provider Directory

National Provider Directory
Tax ID family
San Francisco Neuropsychology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

760 Market St
Ste 712
San Francisco, CA 94102
Phone (415) 627-9095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1306103544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MARKET ST",
            "address_2": "SUITE 712",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022401",
            "telephone_number": "415-627-9095",
            "fax_number": "415-627-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MARKET ST",
            "address_2": "SUITE 712",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022401",
            "telephone_number": "415-627-9095",
            "fax_number": "415-627-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY PEERY PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "PEERY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-627-9095",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "PSY 21904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco Neuropsychology Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.