NPIMap

Organization Active NPI

Institute on Aging

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1497860068
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20118 Issued in CA
Legal business name
INSTITUTE ON AGING
Practice address
3330 Geary Blvd
San Francisco, CA 94118-3347
Phone
(415) 750-4180
Fax
(415) 750-4108
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Therese Antonia Ten Tusscher, PHD
Title
Vice President Clinical Programs
Phone
(415) 750-4180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PSY15889 CA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY20118 CA Primary

Addresses

Primary practice location

3330 Geary Blvd
San Francisco, CA 94118-3347

Mailing address

3330 Geary Blvd
San Francisco, CA 94118-3347
Phone (415) 750-4180

National Provider Directory

National Provider Directory

Locations

3330 Geary Blvd
San Francisco, CA 94118
Phone (415) 610-0171

3330 Geary Blvd
Ste 2
San Francisco, CA 94118
Phone (415) 750-4111

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497860068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183347",
            "telephone_number": "415-750-4180",
            "fax_number": "415-750-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183347",
            "telephone_number": "415-750-4180",
            "fax_number": "415-750-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TEN TUSSCHER",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "VICE PRESIDENT CLINICAL PROGRAMS",
        "authorized_official_telephone_number": "415-750-4180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY15889",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20118",
            "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 Sep 11, 2025; 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.