Active NPI
Alan Joseph Bankman, PSYD
- Psychologist
- Menlo Park, CA
National Provider Identifier
1578074878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 29524
- Practice address
- 845 El Camino Real
Menlo Park, CA 94025-4807 - Phone
- (650) 762-8352
- NPI assigned
- Oct 13, 2017
- Last updated
- Oct 13, 2017
- Sex
- Male
- 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 | 29524 | CA | Primary |
Addresses
Primary practice location
845 El Camino Real
Menlo Park, CA 94025-4807
Mailing address
743 Cooksey LN
Stanford, CA 94305-8417
Phone (650) 814-6224
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Anxiety Group | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cognitive & Behavioral Psychologist
- Menlo Park, CA
- NPI 1144562828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1578074878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 COOKSEY LN",
"city": "STANFORD",
"state": "CA",
"postal_code": "943058417",
"telephone_number": "650-814-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 EL CAMINO REAL",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254807",
"telephone_number": "650-762-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKMAN",
"first_name": "ALAN",
"middle_name": "JOSEPH",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-13",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "29524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.