Individual provider Active NPI

Theresia Oklan, PHD

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1376911123
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33756 Issued in CA
Practice address
2356 Sutter St Ste J112
San Francisco, CA 94115-3006
Phone
(415) 885-7788
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY33756 CA Primary
Mental Health Counselor 101YM0800X PSY33756 CA

Addresses

Primary practice location

2356 Sutter St Ste J112
San Francisco, CA 94115-3006

Mailing address

4801 Geranium PL
Oakland, CA 94619-3036
Phone (510) 798-7942

Other practice location 1

675 18th St
San Francisco, CA 94143-4200
Phone (510) 798-7942

Other practice location 2

4801 Geranium Pl
Oakland, CA 94619-3036
Phone (510) 798-7942

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
I20230616002648 CA Practitioner - Psychiatry 4082072426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY33756CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 5, 2023 Accepting new patients
University of California San Francisco CurrentSince Jun 5, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 5, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 5, 2023 Accepting new patients
Through the Looking Glass PastSince Feb 4, 2012 Accepting new patients
University of California San Francisco Medical Center PastSince Nov 5, 2023 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2356 Sutter St
Ste J112
San Francisco, CA 94115

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

1545 Divisadero St
Fl 4
San Francisco, CA 94143
Phone (415) 353-7700

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 7

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": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1376911123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GERANIUM PL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946193036",
            "telephone_number": "510-798-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 SUTTER ST STE J112",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153006",
            "telephone_number": "415-885-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 18th St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941434200",
            "country_code": "US",
            "telephone_number": "510-798-7942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Geranium Pl",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946193036",
            "country_code": "US",
            "telephone_number": "510-798-7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKLAN",
        "first_name": "THERESIA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33756",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY33756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.