Individual provider Active NPI

Jessica Cordeiro, PSYD

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1710592829
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY36442 Issued in CA
Practice address
2154 Broderick St
San Francisco, CA 94115-1628
Phone
(415) 323-0585
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY36442 CA Primary

Addresses

Primary practice location

2154 Broderick St
San Francisco, CA 94115-1628

Mailing address

3075 Adeline St Ste 120
Berkeley, CA 94703-2579
Phone (510) 848-1112

Other practice location 1

3075 Adeline St Ste 120
Berkeley, CA 94703-2579
Phone (510) 848-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260429003193 CA Practitioner - Clinical Psychologist 6709353519 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Francisco, CA 94118-1141

San Francisco, CA 94115-1628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY36442CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Looking Glass CurrentSince Sep 1, 2024 Accepting new patients

Locations

3075 Adeline St
Ste 120
Berkeley, CA 94703
Phone (510) 225-7572

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1710592829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST STE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032579",
            "telephone_number": "510-848-1112",
            "fax_number": "510-848-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 BRODERICK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151628",
            "telephone_number": "415-323-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 Adeline St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947032579",
            "country_code": "US",
            "telephone_number": "510-848-1112",
            "fax_number": "510-848-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDEIRO",
        "first_name": "JESSICA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY36442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.