Frances Sarandon, LIC PSYCH TECH

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT22691 Issued in CA

Practice address

250 Bonair Rd
Pes
Greenbrae, CA 94904

Phone

(415) 499-6830

Fax

(415) 507-2672

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Frances Hernandez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396894739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 PICNIC AVE #28",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-455-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BONAIR RD",
            "address_2": "PES",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-499-6830",
            "fax_number": "415-507-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARANDON",
        "first_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "LIC PSYCH TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT22691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "HERNANDEZ",
            "prefix": "MS.",
            "credential": "LIC PSYCH TECH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ian Salvage
• Ladjane D Sampaio Sr.
• Gary M. Sanchez, PA-C
• Dario Torres Santiago, L.C.S.W.
• Leticia G Santos
• Stefania Sarti, MFT
• Satellite Greenbrae, LLC
• Satellite Healthcare Inc
• Hima Bindu Satyavolu, MD
• Andrew Chapman Saxon, MD

• Licensed Psychiatric Technician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.