Individual provider Active NPI

Nemra Simay Gokbayrak, PHD

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1548737968
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30125 Issued in CA
Practice address
220 Sansome St
San Francisco, CA 94104-2321
Phone
(415) 727-6204
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY30125 CA Primary

Addresses

Primary practice location

220 Sansome St
San Francisco, CA 94104-2321

Mailing address

220 Sansome St
San Francisco, CA 94104-2321

Other names 1

  • Nemra Simay Gokbayrak Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 27, 2023 through Nov 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY30125CAMDClinical Psychologist
024299NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1548737968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SANSOME ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941042321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SANSOME ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941042321",
            "telephone_number": "415-727-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKBAYRAK",
        "first_name": "NEMRA SIMAY",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEMRA",
            "last_name": "GOKBAYRAK",
            "middle_name": "SIMAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.