Jessica Herbold PHD Clinical Psychology Practice, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY 18505 Issued in CA

Legal business name

JESSICA HERBOLD PHD CLINICAL PSYCHOLOGY PRACTICE, INC.

Practice address

2142 Sutter St Ste 1
San Francisco, CA 94115-3120

Phone

(415) 441-6810

NPI assigned

Jul 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Herbold, PH.D.

Title

President

Phone

(415) 441-6810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215907200000",
    "number": "1326202946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 SUTTER ST STE 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153120",
            "telephone_number": "415-441-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 SUTTER ST STE 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153120",
            "telephone_number": "415-441-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA HERBOLD PHD CLINICAL PSYCHOLOGY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-07-13",
        "status": "A",
        "authorized_official_last_name": "HERBOLD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-441-6810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY 18505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2008; 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.