NPIMap

Organization Active NPI

Access Institute for Psychological Services

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1609919109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15979 Issued in CA
Legal business name
ACCESS INSTITUTE FOR PSYCHOLOGICAL SERVICES
Practice address
110 Gough St
Suite 301
San Francisco, CA 94102-5945
Phone
(415) 861-5449
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert H. Magee, PH.D.NPI 1699814046
Title
Executive Director
Phone
(415) 861-5449

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 Psychologist 103TC0700X PSY15979 CA Primary

Addresses

Primary practice location

110 Gough St
Suite 301
San Francisco, CA 94102-5945

Mailing address

110 Gough St
Suite 301
San Francisco, CA 94102-5945
Phone (415) 861-5449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000873 CA Part B Supplier - Clinic/Group Practice 0446224893 Receives reassigned benefits from 5 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

110 Gough St
Ste 301
San Francisco, CA 94102
Phone (415) 861-5449

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609919109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GOUGH ST",
            "address_2": "SUITE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025945",
            "telephone_number": "415-861-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GOUGH ST",
            "address_2": "SUITE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025945",
            "telephone_number": "415-861-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS INSTITUTE FOR PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-861-5449",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15979",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.