Active NPI
Stephanie Randazzo, PSYD
- Psychologist
- San Francisco, CA
National Provider Identifier
1477229276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34020
- Practice address
- 166 Geary STR 1
5TH FL #1042
San Francisco, CA 94108 - Phone
- (510) 761-7955
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34020 | CA | Primary |
Addresses
Primary practice location
166 Geary STR 1
5TH FL #1042
San Francisco, CA 94108
Mailing address
PO Box 22212
San Francisco, CA 94122-0212
Phone (718) 873-3286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34020 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1477229276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22212",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941220212",
"telephone_number": "718-873-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 GEARY STR 1",
"address_2": "5TH FL #1042",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94108",
"telephone_number": "510-761-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDAZZO",
"first_name": "STEPHANIE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "34020",
"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 Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.