Active NPI
Shannon M. Ulrike
- Psychologist
- San Francisco, CA
National Provider Identifier
1558548602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY21225
- Practice address
- 50 Phelan Ave
San Francisco, CA 94112-1821 - Phone
- (415) 452-5384
- NPI assigned
- Jan 30, 2008
- Last updated
- Jan 30, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY21225 | CA | Primary |
Addresses
Primary practice location
50 Phelan Ave
San Francisco, CA 94112-1821
Mailing address
PO Box 1431
Menlo Park, CA 94026-1431
Phone (510) 265-4585
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 |
|---|---|---|---|
| PSY21225 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Francisco Community College District | Past | Accepting new patients | |
| Community College District | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Student Health Clinic/Center
- San Francisco, CA
- NPI 1982739918
-
- Ambulatory Family Planning Facility
- San Francisco, CA
- NPI 1407970676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1558548602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1431",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940261431",
"telephone_number": "510-265-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 PHELAN AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941121821",
"telephone_number": "415-452-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRIKE",
"first_name": "SHANNON",
"middle_name": "M.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY21225",
"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 Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.