Active NPI
Skyellen Grace Kulanu, PHD
- Psychologist
- San Francisco, CA
National Provider Identifier
1699825877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY22942
- Practice address
- 45 Franklin St Ste 212
San Francisco, CA 94102-6030 - Phone
- (510) 922-0284
- NPI assigned
- Jan 11, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY22942 | CA | Primary |
Addresses
Primary practice location
45 Franklin St Ste 212
San Francisco, CA 94102-6030
Mailing address
6239 College Ave Ste 303
Oakland, CA 94618-1384
Phone (510) 922-0284
Other practice location 1
2500 Bissell Ave
Richmond, CA 94804-1815
Phone (510) 235-1516 ext. 3925
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 |
|---|---|---|---|
| PSY22942 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1699825877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6239 COLLEGE AVE STE 303",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181384",
"telephone_number": "510-922-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 FRANKLIN ST STE 212",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941026030",
"telephone_number": "510-922-0284"
}
],
"practiceLocations": [
{
"address_1": "2500 Bissell Ave",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948041815",
"country_code": "US",
"telephone_number": "510-235-1516 x3925",
"fax_number": "510-235-2025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULANU",
"first_name": "SKYELLEN",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY22942",
"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 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.