Individual provider Active NPI

James Lacroce, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1336207471
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21605 Issued in CA
Practice address
3150 18TH St Ste 301
San Francisco, CA 94110-2076
Phone
(415) 794-0343
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY21605 CA Primary

Addresses

Primary practice location

3150 18TH St Ste 301
San Francisco, CA 94110-2076

Mailing address

49 High St
#2
San Francisco, CA 94114-3541

Other practice location 1

1348 10th Ave
San Francisco, CA 94122-2304
Phone (415) 564-2310

Other practice location 2

4104 24th St
Suite 949
San Francisco, CA 94114
Phone (415) 794-0343

Other practice location 3

49 High St Apt 2
San Francisco, CA 94114-3541
Phone (415) 794-0343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY21605CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1336207471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HIGH ST",
            "address_2": "#2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 18TH ST STE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102076",
            "telephone_number": "415-794-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1348 10th Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941222304",
            "country_code": "US",
            "telephone_number": "415-564-2310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4104 24th St",
            "address_2": "Suite 949",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94114",
            "country_code": "US",
            "telephone_number": "415-794-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 High St Apt 2",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941143541",
            "country_code": "US",
            "telephone_number": "415-794-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACROCE",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 26, 2020; 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.