Active NPI
Brianna S Coffino, PHD
- Psychologist
- Novato, CA
National Provider Identifier
1598991952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 100 Rowland Way Ste 205
Novato, CA 94945-5041 - Phone
- (415) 492-4870
- Fax
- (415) 492-4871
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
100 Rowland Way Ste 205
Novato, CA 94945-5041
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 942-4870
Other practice location 1
650 Clark Way
Palo Alto, CA 94304-2300
Phone (650) 326-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY25256 | Other | CA | STATE MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1598991952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "415-942-4870",
"fax_number": "415-492-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROWLAND WAY STE 205",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455041",
"telephone_number": "415-492-4870",
"fax_number": "415-492-4871"
}
],
"practiceLocations": [
{
"address_1": "650 Clark Way",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943042300",
"country_code": "US",
"telephone_number": "650-326-5530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFFINO",
"first_name": "BRIANNA",
"middle_name": "S",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "PSY25256",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.