Active NPI
Andrew Charlton Sweet, PH.D.
- Clinical Psychologist
- San Mateo, CA
National Provider Identifier
1306481288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY8934
- Practice address
- 177 Bovet Rd Ste 540
San Mateo, CA 94402-3121 - Phone
- (650) 341-9749
- Fax
- (650) 341-9680
- NPI assigned
- Nov 14, 2019
- Sex
- Male
- 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 | PSY8934 | CA | Primary |
Addresses
Primary practice location
177 Bovet Rd Ste 540
San Mateo, CA 94402-3121
Mailing address
177 Bovet Rd Ste 540
San Mateo, CA 94402-3121
Phone (650) 341-9749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 15, 2020 through Jun 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8934 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1306481288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 BOVET RD STE 540",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023121",
"telephone_number": "650-341-9749",
"fax_number": "650-341-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 BOVET RD STE 540",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023121",
"telephone_number": "650-341-9749",
"fax_number": "650-341-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEET",
"first_name": "ANDREW",
"middle_name": "CHARLTON",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-14",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.