Organization Active NPI

Pacifica Psychology

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1396029583
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY18403 Issued in CA
Legal business name
PACIFICA PSYCHOLOGY
Practice address
1359 Pine St
San Francisco, CA 94109-4807
Phone
(415) 290-6004
Fax
(415) 373-3752
NPI assigned
Oct 5, 2011
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Jennifer Mary Murphy, PH.D.NPI 1487722401
Title
Owner
Phone
(415) 290-6004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY18403 CA Primary

Addresses

Primary practice location

1359 Pine St
San Francisco, CA 94109-4807

Mailing address

1559B Sloat Blvd
#151
San Francisco, CA 94132-1222
Phone (415) 290-6004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1396029583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559B SLOAT BLVD",
            "address_2": "#151",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321222",
            "telephone_number": "415-290-6004",
            "fax_number": "415-373-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 PINE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094807",
            "telephone_number": "415-290-6004",
            "fax_number": "415-373-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-290-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18403",
            "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 Oct 5, 2011; 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.