Active NPI
Jennifer Susanna Fitch, PSYD
- Psychologist
- San Francisco, CA
National Provider Identifier
1679777015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY20317
- Practice address
- 424 Jessie St Ste 7
San Francisco, CA 94103-1848 - Phone
- (415) 543-5277
- Fax
- (415) 348-4693
- NPI assigned
- Jun 11, 2007
- 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 | PSY20317 | CA | Primary |
Addresses
Primary practice location
424 Jessie St Ste 7
San Francisco, CA 94103-1848
Mailing address
424 Jessie St Ste 7
San Francisco, CA 94103-1848
Phone (415) 543-5277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20317 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679777015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 JESSIE ST STE 7",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031848",
"telephone_number": "415-543-5277",
"fax_number": "415-348-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 JESSIE ST STE 7",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031848",
"telephone_number": "415-543-5277",
"fax_number": "415-348-4693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITCH",
"first_name": "JENNIFER",
"middle_name": "SUSANNA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY20317",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.