Organization Active NPI

Psychology Services of San Francisco, Incorporated

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1619454675
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PSY30044 Issued in CA
Legal business name
PSYCHOLOGY SERVICES OF SAN FRANCISCO, INCORPORATED
Practice address
582 Market St Ste 312
San Francisco, CA 94104-5304
Phone
(415) 548-1304
Fax
(866) 339-6771
NPI assigned
Jul 23, 2018
Last updated
Sep 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Dr. Nathan Hale, PSY.D.
Title
Clinical Psychologist
Phone
(415) 548-1304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PSY30044 CA Primary

Addresses

Primary practice location

582 Market St Ste 312
San Francisco, CA 94104-5304

Mailing address

5758 Geary Blvd # 626
San Francisco, CA 94121-2112
Phone (415) 548-1304

National Provider Directory

National Provider Directory

Locations

3354 Sacramento St
Ste F
San Francisco, CA 94118
Phone (415) 548-1304

582 Market St
Ste 312
San Francisco, CA 94104
Phone (415) 516-2063

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1619454675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 GEARY BLVD # 626",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212112",
            "telephone_number": "415-548-1304",
            "fax_number": "866-339-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 312",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045304",
            "telephone_number": "415-548-1304",
            "fax_number": "866-339-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY SERVICES OF SAN FRANCISCO, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "415-548-1304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY30044",
            "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 Sep 27, 2018; 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.