Organization Active NPI

Bay Area Community Therapy

Doing business as Not Applicable

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1366715450
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY22439 Issued in CA
Legal business name
BAY AREA COMMUNITY THERAPY
Doing business as
Not Applicable
Practice address
3107 Fillmore St Ste 302
San Francisco, CA 94123-3497
Phone
(415) 857-2228
NPI assigned
Feb 20, 2012
Last updated
Feb 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
William Sutton
Title
Director
Phone
(415) 857-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY22439 CA Primary

Addresses

Primary practice location

3107 Fillmore St Ste 302
San Francisco, CA 94123-3497

Mailing address

3107 Fillmore St Ste 302
San Francisco, CA 94123-3497

Other names 1

  • Not Applicable Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1366715450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 FILLMORE ST STE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 FILLMORE ST STE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233497",
            "telephone_number": "415-857-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-857-2228"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Not Applicable",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 20, 2012; 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.