Active NPI
Brian Damien Cleary, PSYD
- Psychologist
- San Francisco, CA
National Provider Identifier
1477713394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 18824
- Practice address
- 870 Market St Ste 1019
San Francisco, CA 94102-2905 - Phone
- (415) 824-1785
- NPI assigned
- Jun 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 18824 | CA | Primary |
Addresses
Primary practice location
870 Market St Ste 1019
San Francisco, CA 94102-2905
Mailing address
3380 23Rd St
San Francisco, CA 94110-3030
Phone (415) 835-4751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18824 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1477713394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3380 23RD ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103030",
"telephone_number": "415-835-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 MARKET ST STE 1019",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941022905",
"telephone_number": "415-824-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "BRIAN",
"middle_name": "DAMIEN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "18824",
"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 Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.