Active NPI
Kate Jane Riley, PHD
- Clinical Psychologist
- San Bruno, CA
National Provider Identifier
1508926783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19216
- Practice address
- 1001 Sneath LN
San Bruno, CA 94066-2308 - Phone
- (650) 616-6220
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY19216 | CA | Primary |
Addresses
Primary practice location
1001 Sneath LN
San Bruno, CA 94066-2308
Mailing address
566 Flood Avenue
San Francisco, CA 94112
Phone (415) 334-2710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY19216 | Other | CA | PSYCHOLOGIST |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19216 | CA | MD | Clinical Psychologist |
| 32942 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1508926783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 FLOOD AVENUE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94112",
"telephone_number": "415-334-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SNEATH LN",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662308",
"telephone_number": "650-616-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "KATE",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST",
"identifier": "PSY19216",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.