Active NPI
Martha Merchant, PSY.D.
- Psychologist
- San Francisco, CA
National Provider Identifier
1508087552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 26986
- Practice address
- 50 Balmy St
San Francisco, CA 94110-4111 - Phone
- (415) 547-0838
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 26986 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 26986 | CA | |
| Marriage & Family Therapist | 106H00000X | 1651 | MN | |
| Psychologist | 103T00000X | 26986 | CA | Primary |
Addresses
Primary practice location
50 Balmy St
San Francisco, CA 94110-4111
Mailing address
50 Balmy St
San Francisco, CA 94110-4111
Phone (415) 547-0838
Other practice location 1
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 547-0838
Other practice location 2
3150 18th St
Ste 550
San Francisco, CA 94110-2074
Phone (415) 547-0838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26986 | CA | MD | Occupational Therapist |
| 1651 | MN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1508087552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BALMY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104111",
"telephone_number": "415-547-0838",
"fax_number": "415-680-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BALMY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104111",
"telephone_number": "415-547-0838"
}
],
"practiceLocations": [
{
"address_1": "1001 Potrero Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941103518",
"country_code": "US",
"telephone_number": "415-547-0838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3150 18th St",
"address_2": "STE 550",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941102074",
"country_code": "US",
"telephone_number": "415-547-0838",
"fax_number": "415-795-4355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCHANT",
"first_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "26986",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "26986",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1651",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "26986",
"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 Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.