Bear Korngold, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21643 Issued in CA

Practice address

1201 Noe St
San Francisco, CA 94114-3713

Phone

(415) 738-8055

Fax

(415) 590-7250

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Korngold Psychological Services, P.C.

  • Psychologist
  • San Francisco, CA
  • NPI 1700682416
  NPD Authorized official

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1376730002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MIRABEL AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104614",
            "telephone_number": "415-738-8055",
            "fax_number": "415-590-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143713",
            "telephone_number": "415-738-8055",
            "fax_number": "415-590-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNGOLD",
        "first_name": "BEAR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Schimbor Kornblith, PHD
• Lucy Zumwinkle Kornblith, MD
• Lily Serena Kornbluth, M.D.
• Margaret Adrienne Kornfeind
• Korngold Psychological Services, P.C.
• Efrem Korngold, OMD, LAC
• Shem Korngold
• David Gregory Kornguth, M.D.
• Stephen Andrew Korniej
• Brian Kornobis

• All providers in San Francisco, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.