Individual provider Active NPI

Jessica Mariw Foley, PH.D., PSY.D.

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1477783983
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22810 Issued in CA
Practice address
2 Avery St Apt 17F
Boston, MA 02111-1003
Phone
(310) 591-8024
NPI assigned
Jul 17, 2009
Last updated
Jul 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22810 CA Primary

Addresses

Primary practice location

2 Avery St Apt 17F
Boston, MA 02111-1003

Mailing address

2 Avery St Apt 17F
Boston, MA 02111-1003
Phone (310) 591-8024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625002205 CA Practitioner - Clinical Psychologist 8123202991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22810CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Apr 21, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 21, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 21, 2015 Accepting new patients
University of California San Francisco CurrentSince Apr 21, 2015 Accepting new patients
University of California San Francisco Current Accepting new patients
Optum Behavioral Care of California, P.C. Clinical PastSince Jan 21, 2024 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Psychiatry Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1500 Owens St
Rm 321D
San Francisco, CA 94158

1651 4th St
Fl 2
San Francisco, CA 94158
Phone (415) 353-2069

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
#A837
San Francisco, CA 94143
Phone (415) 353-2273

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: jessica.foley.1@28621.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1477783983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AVERY ST APT 17F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111003",
            "telephone_number": "310-591-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVERY ST APT 17F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111003",
            "telephone_number": "310-591-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "JESSICA",
        "middle_name": "MARIW",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.