Individual provider Active NPI

Skyellen Grace Kulanu, PHD

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1699825877
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY22942 Issued in CA
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

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY22942CAMDPsychologist

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.

Verify at the official NPI Registry.