NPIMap

Organization Active NPI

San Francisco Neuropsychology Specialists

  • Clinical Neuropsychologist
  • San Francisco, CA
National Provider Identifier
1497149876
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
21904 Issued in CA
Legal business name
SAN FRANCISCO NEUROPSYCHOLOGY SPECIALISTS
Practice address
833 Market St
Suite 809
San Francisco, CA 94103-1814
Phone
(415) 627-9095
Fax
(415) 627-9108
NPI assigned
Mar 24, 2015
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Shelley Peery, PHDNPI 1215056460
Title
Owner
Phone
(415) 218-6915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 21904 CA Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 21904 CA

Addresses

Primary practice location

833 Market St
Suite 809
San Francisco, CA 94103-1814

Mailing address

833 Market St
Suite 809
San Francisco, CA 94103-1814
Phone (415) 627-9095

Other names 1

  • San Francisco Neuropsychology Other name

National Provider Directory

National Provider Directory
Tax ID family
San Francisco Neuropsychology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1497149876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 MARKET ST",
            "address_2": "SUITE 809",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031814",
            "telephone_number": "415-627-9095",
            "fax_number": "415-627-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 MARKET ST",
            "address_2": "SUITE 809",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031814",
            "telephone_number": "415-627-9095",
            "fax_number": "415-627-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO NEUROPSYCHOLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "PEERY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-218-6915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "21904",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "21904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco Neuropsychology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 24, 2015; 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.