Organization Active NPI

Awareness Is Action Psychotherapy PC

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1609745041
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AWARENESS IS ACTION PSYCHOTHERAPY PC
Practice address
870 Market St Ste 915
San Francisco, CA 94102-2904
Phone
(415) 779-5073
NPI assigned
Nov 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Dr. Matthew Stimmel, PHDNPI 1700139201
Title
Ceo
Phone
(917) 974-0802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

870 Market St Ste 915
San Francisco, CA 94102-2904

Mailing address

210 S Ellsworth Ave Unit 1501
San Mateo, CA 94401-6020
Phone (415) 779-5073

National Provider Directory

National Provider Directory

Locations

870 Market St
Ste 915
San Francisco, CA 94102
Phone (415) 779-5073

210 S Ellsworth Ave
Unit 1501
San Mateo, CA 94401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1609745041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S ELLSWORTH AVE UNIT 1501",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944016020",
            "telephone_number": "415-779-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 915",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022904",
            "telephone_number": "415-779-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS IS ACTION PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "STIMMEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-974-0802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.