Active NPI
Lisa Buchberg, DMH
- Psychologist
- San Francisco, CA
National Provider Identifier
1629559844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY9013
- Practice address
- 2491 Washington St
San Francisco, CA 94115-1816 - Phone
- (415) 885-3125
- NPI assigned
- Aug 25, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY9013 | CA | Primary |
Addresses
Primary practice location
2491 Washington St
San Francisco, CA 94115-1816
Mailing address
2491 Washington St
San Francisco, CA 94115-1816
Phone (415) 885-3125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 6, 2021 through Nov 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9013 | CA | MD | Psychologist |
| 9013 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1629559844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2491 WASHINGTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151816",
"telephone_number": "415-885-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2491 WASHINGTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151816",
"telephone_number": "415-885-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHBERG",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "DMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-25",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "PSY9013",
"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 25, 2018; 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.