Individual provider Active NPI

Luca Di Donna, PHD

  • Psychoanalysis Psychologist
  • San Francisco, CA
National Provider Identifier
1740328525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
PSY8425 Issued in CA
Practice address
399 Laurel St
Suite 4
San Francisco, CA 94118-1951
Phone
(415) 346-0722
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X PSY8425 CA Primary

Addresses

Primary practice location

399 Laurel St
Suite 4
San Francisco, CA 94118-1951

Mailing address

399 Laurel St
Suite 4
San Francisco, CA 94118-1951
Phone (415) 346-0722

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
I20120319000336 CA Practitioner - Clinical Psychologist 8426217019 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

399 Laurel St
San Francisco, CA 94118-1952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8425CAMDAddiction (Substance Use Disorder) Counselor
PSY8425CAMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740328525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 LAUREL ST",
            "address_2": "SUITE 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181951",
            "telephone_number": "415-346-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 LAUREL ST",
            "address_2": "SUITE 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181951",
            "telephone_number": "415-346-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI DONNA",
        "first_name": "LUCA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "PSY8425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.