Active NPI
Kelsey Thompson Laird, PHD
- Psychologist
- San Francisco, CA
National Provider Identifier
1336758291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 31854
- Practice address
- 1875 Church St
San Francisco, CA 94131-2712 - Phone
- (310) 351-9353
- NPI assigned
- Jul 27, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 31854 | CA | Primary |
Addresses
Primary practice location
1875 Church St
San Francisco, CA 94131-2712
Mailing address
1875 Church St
San Francisco, CA 94131-2712
Phone (310) 351-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 6, 2021 through Apr 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31854 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1336758291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 CHURCH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312712",
"telephone_number": "310-351-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 CHURCH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312712",
"telephone_number": "310-351-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "KELSEY",
"middle_name": "THOMPSON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "31854",
"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 Jul 27, 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.