Organization Active NPI

Stephen Allison, M.D., a Professional Corporation

  • Psychiatry Physician
  • Sausalito, CA
National Provider Identifier
1326436668
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A118576 Issued in CA
Legal business name
STEPHEN ALLISON, M.D., A PROFESSIONAL CORPORATION
Practice address
3030 Bridgeway Ste 206
Sausalito, CA 94965-2898
Phone
(415) 952-3101
Fax
(415) 534-3439
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Dr. Stephen C Allison, M.D.
Title
Owner
Phone
(415) 952-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A118576 CA Primary

Addresses

Primary practice location

3030 Bridgeway Ste 206
Sausalito, CA 94965-2898

Mailing address

3020 Bridgeway # 236
Sausalito, CA 94965-1439

National Provider Directory

National Provider Directory

Locations

3020 Bridgeway
Sausalito, CA 94965
Phone (415) 237-3017

3030 Bridgeway
Ste 206
Sausalito, CA 94965
Phone (415) 952-3101

3030 Bridgeway
Ste 110
Sausalito, CA 94965
Phone (415) 952-3101

Practitioners & affiliated clinicians

Practitioners 3

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": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1326436668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BRIDGEWAY # 236",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BRIDGEWAY STE 206",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652898",
            "telephone_number": "415-952-3101",
            "fax_number": "415-534-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN ALLISON, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-952-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A118576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.