Active NPI
Jacqueline De Lon
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1548619703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT17279
- Practice address
- 3637 Sacramento St
Suite F
San Francisco, CA 94118-1723 - Phone
- (415) 922-2608
- Fax
- (415) 922-4438
- NPI assigned
- Jun 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | CA | ||
| Marriage & Family Therapist | 106H00000X | MFT17279 | CA | Primary |
Addresses
Primary practice location
3637 Sacramento St
Suite F
San Francisco, CA 94118-1723
Mailing address
3637 Sacramento St
Suite F
San Francisco, CA 94118-1723
Phone (415) 922-2608
Other names 1
- Jacqueline De Lon Sugarman
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT17279 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Psychotherapy | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Howard Sugarman, MFT
- Marriage & Family Therapist
- San Francisco, CA
- NPI 1871986554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1548619703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 SACRAMENTO ST",
"address_2": "SUITE F",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181723",
"telephone_number": "415-922-2608",
"fax_number": "415-922-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 SACRAMENTO ST",
"address_2": "SUITE F",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181723",
"telephone_number": "415-922-2608",
"fax_number": "415-922-4438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LON",
"first_name": "JACQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT17279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "DE LON SUGARMAN",
"credential": "MFT",
"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 Jun 8, 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.