Caroll M Brodsky, M.D.

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

A17726 Issued in CA

Legal business name

CAROLL M BRODSKY, M.D.

Practice address

350 Parnassus Ave
Suite 602
San Francisco, CA 94117-3608

Phone

(415) 566-6300

Fax

(415) 566-6301

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Carroll M Brodsky, M.D.

Title

President

Phone

(415) 566-6300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639371909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVE",
            "address_2": "SUITE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "415-566-6300",
            "fax_number": "415-566-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVE",
            "address_2": "SUITE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "415-566-6300",
            "fax_number": "415-566-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLL M BRODSKY, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-566-6300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "A17726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gouverneur M Carnochan
• Carol Ferraro Inc
• Carol K. Lee, MD
• Caroline Yong, MD, Inc.
• Naomi Carolino, D.D.S.
• Daniela V Carollo
• Scott Carollo, MFT
• Carolyn C Chang MD, a Prof. Corp.
• Carolyn E. Million, MD, PC
• Scott Douglass Caron, C.M.T, L.M.T.

• Health Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Health Psychologist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.