Active NPI
Andrea Naranjo
- Clinical Psychologist
- Greenbrae, CA
National Provider Identifier
1609208438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 29437
- Practice address
- 250 Bon Air Rd
Greenbrae, CA 94904-1702 - Phone
- (415) 473-3255
- NPI assigned
- Aug 2, 2013
- Last updated
- Aug 29, 2019
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 29437 | CA | Primary |
Addresses
Primary practice location
250 Bon Air Rd
Greenbrae, CA 94904-1702
Mailing address
3569 Round Barn Cir
Santa Rosa, CA 95403-5781
Phone (707) 303-3600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29437 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1609208438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954035781",
"telephone_number": "707-303-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BON AIR RD",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949041702",
"telephone_number": "415-473-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARANJO",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "29437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbrae, CA
- Mynsberge, Ruggles & Yang Oral Surgery, P.C. (Mynsberge, Ruggles, and Yang Oral Surgery)
- Nadia Naderi, M.D.
- Elizabeth Claire Nadiv, MD
- Nancy a Trahms MD Robert G Trahms MD a Professional Corporation
- Sarena Napier, ASW
- Patricia Ann Naumann, RN
- Priscilla Joy Navarro, MD
- Suhaila Nawabi, MD
- Venatius Che Nde, RN
- Nnamdi Chinedum Ndudikwa, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.