Active NPI
Emily Pereira, MS
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1609322650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32281
- Practice address
- 3626 Balboa St
San Francisco, CA 94121-2604 - Phone
- (415) 668-5955
- NPI assigned
- Aug 30, 2016
- 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 | 32281 | CA | Primary |
Addresses
Primary practice location
3626 Balboa St
San Francisco, CA 94121-2604
Mailing address
3626 Balboa St
San Francisco, CA 94121-2604
Phone (415) 668-5955
Other practice location 1
610 Elm St
Suite 212
San Carlos, CA 94070-8401
Phone (650) 591-9623
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32281 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Clinical Group, a Psychology Corporation | Clinical | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609322650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 BALBOA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941212604",
"telephone_number": "415-668-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 BALBOA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941212604",
"telephone_number": "415-668-5955"
}
],
"practiceLocations": [
{
"address_1": "610 Elm St",
"address_2": "Suite 212",
"address_purpose": "LOCATION",
"city": "San Carlos",
"state": "CA",
"postal_code": "940708401",
"country_code": "US",
"telephone_number": "650-591-9623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "EMILY",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2022-07-21",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.