Organization Active NPI

Concussion and Migraine Clinic

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1396418190
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONCUSSION AND MIGRAINE CLINIC
Practice address
815 Hyde St
San Francisco, CA 94109-5996
Phone
(415) 673-5700
Fax
(415) 292-7140
NPI assigned
Jul 28, 2021
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Joanne Azulay, PHD
Title
Owner
Phone
(415) 673-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

815 Hyde St
San Francisco, CA 94109-5996

Mailing address

815 Hyde St
San Francisco, CA 94109-5996
Phone (415) 673-5700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1396418190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HYDE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095996",
            "telephone_number": "415-673-5700",
            "fax_number": "415-292-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HYDE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095996",
            "telephone_number": "415-673-5700",
            "fax_number": "415-292-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCUSSION AND MIGRAINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "AZULAY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-673-5700",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jan 25, 2022; 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.