Active NPI
Leah Starr-Glass
- Clinical Child & Adolescent Psychologist
- San Francisco, CA
National Provider Identifier
1326635335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 32275
- Practice address
- 2901 Webster St
San Francisco, CA 94123-4005 - Phone
- (917) 968-4285
- NPI assigned
- Dec 23, 2020
- Sex
- Female
- 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 Child & Adolescent Psychologist | 103TC2200X | 32275 | CA | Primary |
Addresses
Primary practice location
2901 Webster St
San Francisco, CA 94123-4005
Mailing address
2901 Webster St
San Francisco, CA 94123-4005
Phone (917) 968-4285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY32275 | Other | CA | CALIFORNIA BOARD OF PSYCHOLOGY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lolly@practicesanfrancisco.com | Mighty Minds Psychological Services, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 23, 2023 through Aug 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32275 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1326635335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 WEBSTER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234005",
"telephone_number": "917-968-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 WEBSTER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234005",
"telephone_number": "917-968-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARR-GLASS",
"first_name": "LEAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "32275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PSYCHOLOGY",
"identifier": "PSY32275",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lolly@practicesanfrancisco.com",
"affiliation": "Y",
"affiliationName": "Mighty Minds Psychological Services, Inc.",
"address_1": "2901 Webster St",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941234005",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 23, 2020; 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.