Active NPI
Jennifer Nam, PH.D.
- Psychologist
- San Francisco, CA
National Provider Identifier
1659623080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 26024
- Practice address
- 870 Market St Ste 377
San Francisco, CA 94102-3009 - Phone
- (650) 323-5800
- NPI assigned
- Oct 9, 2012
- Last updated
- Aug 2, 2019
- 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 | 26024 | CA | Primary |
Addresses
Primary practice location
870 Market St Ste 377
San Francisco, CA 94102-3009
Mailing address
870 Market St Ste 377
San Francisco, CA 94102-3009
Phone (650) 323-5800
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26024 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jennifer Y. Nam, Psychologist Inc. | Current | Accepting new patients |
Locations
870 Market St
Ste 377
San Francisco, CA 94102
Phone (415) 494-7041
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Francisco, CA
- NPI 1760056063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1659623080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 MARKET ST STE 377",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023009",
"telephone_number": "650-323-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 MARKET ST STE 377",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023009",
"telephone_number": "650-323-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAM",
"first_name": "JENNIFER",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "26024",
"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 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.