Individual provider Active NPI

Lauren G. Mai, PSY.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1508927104
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26280 Issued in CA
Practice address
4020 Balboa St
San Francisco, CA 94121-2569
Phone
(415) 668-5998
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY26280 CA Primary

Addresses

Primary practice location

4020 Balboa St
San Francisco, CA 94121-2569

Mailing address

4020 Balboa St
San Francisco, CA 94121-2569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140507002194 CA Practitioner - Clinical Psychologist 5890928360 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY26280CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Jan 14, 2020 Accepting new patients
City & County of San Francisco CurrentSince Jan 14, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince Apr 15, 2014 Accepting new patients
University of California SFGH Medical Group CurrentSince Apr 15, 2014 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Rm 7M
San Francisco, CA 94110
Phone (415) 206-5612

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1508927104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 BALBOA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 BALBOA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212569",
            "telephone_number": "415-668-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "LAUREN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.