Active NPI
Alexander Eichenbaum, PHD
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1619581840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32028
- Practice address
- 100 Bush St Ste 1428
San Francisco, CA 94104-3916 - Phone
- (415) 843-1523
- NPI assigned
- Sep 4, 2020
- Last updated
- Jul 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 32028 | CA | Primary |
Addresses
Primary practice location
100 Bush St Ste 1428
San Francisco, CA 94104-3916
Mailing address
100 Bush St Ste 1428
San Francisco, CA 94104-3916
Phone (415) 843-1523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 8, 2021 through Feb 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1619581840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BUSH ST STE 1428",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941043916",
"telephone_number": "415-843-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BUSH ST STE 1428",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941043916",
"telephone_number": "415-843-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHENBAUM",
"first_name": "ALEXANDER",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-04",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32028",
"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 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.