Individual provider Active NPI

Christine Zalecki, PHD

  • Clinical Child & Adolescent Psychologist
  • San Francisco, CA
National Provider Identifier
1659541720
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY21773 Issued in CA
Practice address
401 Parnassus Ave Box 0984-Cas
San Francisco, CA 94143-0984
Phone
(415) 476-7863
Fax
(415) 476-7163
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY21773 CA Primary

Addresses

Primary practice location

401 Parnassus Ave Box 0984-Cas
San Francisco, CA 94143-0984

Mailing address

401 Parnassus Ave Box 0984-Cas
San Francisco, CA 94143-0984
Phone (415) 476-7863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Medical Center Past Accepting new patients
Langley Porter Psychiatric Institute Past Accepting new patients
Community Medical Providers Medical Group Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1659541720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE BOX 0984-CAS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430984",
            "telephone_number": "415-476-7863",
            "fax_number": "415-476-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE BOX 0984-CAS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430984",
            "telephone_number": "415-476-7863",
            "fax_number": "415-476-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALECKI",
        "first_name": "CHRISTINE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY21773",
            "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 Mar 5, 2008; 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.