Individual provider Active NPI

Jodi Perelman, M.F.T.

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1568692432
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45307 Issued in CA
Practice address
2339 3Rd St Ste 24
San Francisco, CA 94107-3191
Phone
(415) 435-7559
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 45307 CA Primary

Addresses

Primary practice location

2339 3Rd St Ste 24
San Francisco, CA 94107-3191

Mailing address

2339 3Rd St Ste 24
San Francisco, CA 94107-3191
Phone (415) 420-5962

Other practice location 1

257 Connecticut St
San Francisco, CA 94107-2402
Phone (415) 435-7559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 9, 2024 through Apr 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45307CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1568692432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 3RD ST STE 24",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073191",
            "telephone_number": "415-420-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 3RD ST STE 24",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073191",
            "telephone_number": "415-435-7559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 Connecticut St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941072402",
            "country_code": "US",
            "telephone_number": "415-435-7559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERELMAN",
        "first_name": "JODI",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.