Organization Active NPI

San Francisco Neuropsychology PC

  • Clinical Neuropsychologist
  • San Francisco, CA
National Provider Identifier
1366993198
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY28386 Issued in CA
Legal business name
SAN FRANCISCO NEUROPSYCHOLOGY PC
Doing business as
San Francisco NeuroPsychology PC
Practice address
833 Market St
Suite 809
San Francisco, CA 94103-1814
Phone
(415) 627-9095
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Gina Nichole Toledo
Title
Practice Manager
Phone
(415) 672-9095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PSY28386 CA Primary

Addresses

Primary practice location

833 Market St
Suite 809
San Francisco, CA 94103-1814

Mailing address

833 Market St
Suite 809
San Francisco, CA 94103-1814
Phone (415) 627-9095

Other names 1

  • San Francisco NeuroPsychology PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170413000738 CA Part B Supplier - Clinic/Group Practice 0941586580 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

833 Market St
Ste 809
San Francisco, CA 94103
Phone (415) 517-8865

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1366993198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 MARKET ST",
            "address_2": "SUITE 809",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031814",
            "telephone_number": "415-627-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 MARKET ST",
            "address_2": "SUITE 809",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031814",
            "telephone_number": "415-627-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO NEUROPSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "415-672-9095"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY28386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco NeuroPsychology PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Francisco NeuroPsychology PC",
            "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 Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.