Active NPI
Julia Nunan-Saah, PHD
- Clinical Neuropsychologist
- San Mateo, CA
National Provider Identifier
1679922322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY30488
- Practice address
- 2000 Alameda de Las Pulgas
Suite 242
San Mateo, CA 94403 - Phone
- (650) 931-6514
- Fax
- (833) 989-0246
- NPI assigned
- Jun 3, 2016
- Reactivated
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY30488 | CA | Primary |
Addresses
Primary practice location
2000 Alameda de Las Pulgas
Suite 242
San Mateo, CA 94403
Mailing address
2000 Alameda de Las Pulgas
Suite 242
San Mateo, CA 94403
Phone (650) 931-6514
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Mind Medical Practice, PC | Current | Accepting new patients |
Locations
2000 Alameda de las Pulgas
Ste 242
San Mateo, CA 94403
Phone (650) 229-7696
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- San Mateo, CA
- NPI 1134766041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1679922322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 ALAMEDA DE LAS PULGAS",
"address_2": "SUITE 242",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "650-931-6514",
"fax_number": "833-989-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ALAMEDA DE LAS PULGAS",
"address_2": "SUITE 242",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "650-931-6514",
"fax_number": "833-989-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNAN-SAAH",
"first_name": "JULIA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"deactivation_date": "2017-07-25",
"reactivation_date": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY30488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.