Individual provider Active NPI

Emily Jones Willow, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1558700179
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A138947 Issued in CA
Practice address
3253 Steiner St
San Francisco, CA 94123-3362
Phone
(415) 890-3403
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A138947 CA Primary

Addresses

Primary practice location

3253 Steiner St
San Francisco, CA 94123-3362

Mailing address

701 Mangels Ave
San Francisco, CA 94127-2215
Phone (843) 530-1849

Other practice location 1

401 Parnassus Ave
San Francisco, CA 94143-2211
Phone (415) 476-7000

Other practice location 2

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-8125

Other names 1

  • Emily Nicole Jones Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180109003538 CA Practitioner - Psychiatry 2769761915 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138947CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Aug 21, 2019 Accepting new patients
City & County of San Francisco CurrentSince Aug 21, 2019 Accepting new patients
Bay Psychiatric Associates Psychiatry CurrentSince Feb 1, 2018 Accepting new patients

Locations

2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
Fl 4
Berkeley, CA 94704
Phone (510) 204-2461

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

Organizations & group practices 4

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1558700179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANGELS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941272215",
            "telephone_number": "843-530-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 STEINER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233362",
            "telephone_number": "415-890-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432211",
            "country_code": "US",
            "telephone_number": "415-476-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Potrero Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "628-206-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOW",
        "first_name": "EMILY",
        "middle_name": "JONES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A138947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JONES",
            "middle_name": "NICOLE",
            "credential": "EMILY WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.