Robert Liss, PH.D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9288 Issued in CA

Legal business name

ROBERT LISS, PH.D., INC.

Practice address

2284 Fulton St
San Francisco, CA 94117-1007

Phone

(415) 668-2502

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert Alan Liss, PH.D.NPI 1902939333

Title

President

Phone

(415) 668-2502

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Liss

  • Psychologist
  • San Francisco, CA
  • NPI 1902939333
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1487084299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171007",
            "telephone_number": "415-668-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171007",
            "telephone_number": "415-668-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LISS, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-668-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.