Psychiatric Healthcare Medical Corp

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

G65182 Issued in CA

Legal business name

PSYCHIATRIC HEALTHCARE MEDICAL CORP

Practice address

3569 Sacramento St
San Francisco, CA 94118-1866

Phone

(415) 522-9297

Fax

(415) 771-4048

NPI assigned

Jan 26, 2007

Last updated

Jun 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles P. Connor, MDNPI 1851447320

Title

Ceo

Phone

(415) 522-9297

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles P. Connor, MD

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1851447320
  Medicare reassignment NPD Authorized official
• Tora Hanssen, M.D.

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1508171992
  NPD (past)
• David Alexander Thomson, LCSW

  • Clinical Social Worker
  • San Francisco, CA
  • NPI 1205814415
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1730235235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181866",
            "telephone_number": "415-522-9297",
            "fax_number": "415-771-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181866",
            "telephone_number": "415-522-9297",
            "fax_number": "415-771-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC HEALTHCARE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-522-9297",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "G65182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psinc, Inc
• Psoas Massage and Bodywork
• Psyche-Soma Clinic
• Psyched in San Francisco
• Psychiatric Alternatives and Wellness Center
• Psychiatric Nursing Prescriber (Personal Practitioners)
• Psychology Services of San Francisco, Incorporated
• Helen Xin Pu, MD
• Shelley Pu
• Tiffany Zhangting Pu, DDS

• Psychiatric Hospital Unit in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychiatric Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.