Individual provider Active NPI

Lennart Moller, M.D.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1336224237
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G83650 Issued in CA
Practice address
601 Steiner St
Henry Ohlhoff Recovery Programs
San Francisco, CA 94117-2509
Phone
(415) 845-2727
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G83650 CA Primary

Addresses

Primary practice location

601 Steiner St
Henry Ohlhoff Recovery Programs
San Francisco, CA 94117-2509

Mailing address

601 Steiner St
Henry Ohlhoff Recovery Programs
San Francisco, CA 94117-2509
Phone (415) 845-2727

Other identifiers 1

IdentifierTypeStateIssuer
00G836500MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407001357 CA Practitioner - Psychiatry 3072560358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Francisco School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SonomaGroup PAC ID 4688658651, 28 clinicians

Practice addresses (Care Compare)

140 S Cloverdale Blvd
Cloverdale, CA 95425-3710
Phone (707) 565-4861

2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone (707) 565-4861

810 Grove St
Sonoma, CA 95476-5328
Phone (707) 565-4861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G83650CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sonoma Current Accepting new patients
County of Sonoma CurrentSince Mar 1, 2020 Accepting new patients
Regents Univ of California UCSF Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
County of Sonoma CurrentSince Mar 1, 2020 Accepting new patients
Henry Ohlhoff House Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1450 Neotomas Ave
Ste 200
Santa Rosa, CA 95405
Phone (707) 565-4131

2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4101

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336224237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 STEINER ST",
            "address_2": "HENRY OHLHOFF RECOVERY PROGRAMS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172509",
            "telephone_number": "415-845-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STEINER ST",
            "address_2": "HENRY OHLHOFF RECOVERY PROGRAMS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172509",
            "telephone_number": "415-845-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLER",
        "first_name": "LENNART",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G83650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G836500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.